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Coroner’s reportPrevention of future deaths · 2026-0285

“6 (1) The NHS 111 script for scratches grazes or minor wounds is available for head…”

Dated 27 Apr 2026, from the coroner for East Riding and Hull. Sent to 2 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

Report put online after its 56 days

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; a reply may have been sent and not yet published.

judiciary.uk put this report online on 6 Aug 2026, after the 56 days for replies had ended (22 Jun 2026). These dates can’t tell us whether a reply was due before it went online. A reply may have been sent and not yet published.

  1. Report dated27 Apr 2026
  2. Deadline22 Jun 2026
  3. Published on judiciary.uk6 Aug 2026
  4. Today23 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
Yorkshire Ambulance Service NHS TrustReport put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 6 Aug 2026, after the 56 days for replies had ended (22 Jun 2026). These dates can’t tell us whether a reply was due before it went online.
NHS PathwaysReport put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 6 Aug 2026, after the 56 days for replies had ended (22 Jun 2026). These dates can’t tell us whether a reply was due before it went online.

The coroner’s concerns

– 6 (1) The NHS 111 script for scratches grazes or minor wounds is available for head injuries but can lead to a non clinical outcome and basic first aid advice being given. The fact is, however, either a scratch, graze or nick above the neck indicates that either has been a head injury of some degree or other and so the script which should correctly be followed is the head injury pathway. If injuries above the neck were excluded from the scratches grazes and nicks pathway then the possibility of basic first aid advice being given is eliminated as all head injury answered result in clinician advice being sought. (2)

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, 2026-0285
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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