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recurance

Winifred Wardle

22 Dec 2025 · Coroner Adrian Farrow · Manchester South

The coroner's concerns

  1. 1. absence of clear protocol for multi-disciplinary approach to CT scan requests

    “There appears to be an absence within the Tameside General Hospital of a clear protocol for a multi-disciplinary approach to CT scan requests”
  2. 2. on-call radiologist as ultimate decision-maker for CT scan requests

    “The on-call radiologist appears to be the ultimate decision-maker in relation to CT scan requests, even where ward-level doctors require urgent clarity from CT scans to achieve a diagnosis”
  3. 3. unclear escalation lines for CT scan requests

    “The lines of escalation where a request for a CT scan is not accepted by the radiology department are not clearly known or understood at ward-level, even by consultants”
  4. 4. incomprehensive records of CT scan decision-making

    “The records of the decision-making process concerning CT scan requests are not comprehensive so as to provide a clear account”

Responses

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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