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Coroner’s reportPrevention of future deaths · 2014-0084

“It is likely that if Nathan had undergone a rectal biopsy, Hirschsprung’s disease would…”

Dated 28 Feb 2014, from the coroner for County Durham and Darlington. 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 25 Apr 2014. 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 dated28 Feb 2014
  2. Deadline25 Apr 2014
  3. Published on judiciary.uk28 Feb 2014
  4. Today23 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
County Durham and Darlington NHS Foundation TrustNamed in the report as “County Durham and Darlington NHS Trust”Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 25 Apr 2014. A reply may have been sent and not yet published.
National Institute for Health and Care ExcellenceDeadline passedNo response published on judiciary.uk so far. The 56-day deadline was 25 Apr 2014. A reply may have been sent and not yet published.
Department of Health and Social CareNamed in the report as “Department of Health”Response publishedPublished on judiciary.uk in June 2014.

Some responses were published as scans, so their text was read automatically. Check the wording against the original before you quote it.

The coroner’s concerns

This report was published as a scan, so its text was read automatically. Check the wording against the original before you quote it.

—- It is likely that if Nathan had undergone a rectal biopsy, Hirschsprung’s disease would have been diagnosed with the opportunity then being available for the appropriate treatment and thus | consider (1) That NICE undertake a review of its guidelines in this regard (2) That Count Durham and Darlington NHS Trust does review its own practices and procedures in advance of a NICE review and (3) The Department of Health be aware of the circumstances of this case so that it can consider whether guidance should be issued in this regard pending the NICE review.

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, 2014-0084
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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