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Coroner’s reportPrevention of future deaths · 2025-0230

“The inquest heard evidence that the haematology department at the time of Mrs Doig’s stem…”

Dated 16 May 2025, from the coroner for Birmingham and Solihull. Sent to 3 organisations or people.

A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.

Read the full report on judiciary.uk

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The 56-day response deadline

Deadline passed

Replies were due by 11 Jul 2025. A reply may have been sent and not yet published.

Organisations that receive a report must reply to the coroner within 56 days, saying what they will do or why they will do nothing. We show whether a response is published on judiciary.uk.

  1. Report dated16 May 2025
  2. Deadline11 Jul 2025
  3. Published on judiciary.uk21 May 2025
  4. Today22 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
University Hospitals Birmingham NHS Foundation TrustResponse publishedPublished on judiciary.uk in May 2025.
Department of Health and Social CareResponse publishedPublished on judiciary.uk in May 2025.
Birmingham and Solihull Integrated Care ServiceResponse published, not yet matchedA response is published with this report. We haven’t yet matched it to the organisation it’s from, so it may be this one’s.

The coroner’s concerns

– 1. The inquest heard evidence that the haematology department at the time of Mrs Doig’s stem cell transplant was understaffed and working beyond its capacity quite often leaving the team with very little time for comprehensive reviews. , consultant haematologist at University Hospitals Birmingham NHS Foundation Trust confirmed at the inquest that the position remained the same today. This raises a concern that further deaths will occur and action is required.

An extract. Read the full report, including the circumstances of the death, on the Courts and Tribunals Judiciary website.

Source
judiciary.uk, Prevention of Future Deaths reports, 2025-0230
Added to Minute Book
8 Oct 2026
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Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0

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