“The issue of transportation was one focus of my investigation into Mr Constantinou's death”
Dated 12 Nov 2014, from the coroner for Inner North London. 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.
The 56-day response deadline
Deadline passedReplies were due by 7 Jan 2015. 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.
- Report dated12 Nov 2014
- Deadline7 Jan 2015
- Published on judiciary.uk14 Nov 2014
- Today24 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Royal Free London NHS Foundation Trust | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 7 Jan 2015. A reply may have been sent and not yet published. |
| Chalfont Road Surgery | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 7 Jan 2015. A reply may have been sent and not yet published. |
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.
— (1) The issue of transportation was one focus of my investigation into Mr Constantinou's death. Despite a multitude of complex medical issues, the seemingly simplistic issue of transportation was the only one that, even at the date of the inquest, was not fully elucidated. | elected to continue with the inquest as | judged that | could conclude on the available evidence. However the family (and |) remained concerned that this issue warrants consideration, in order to prevent the possibility of future deaths. { am concerned that there should be clarity as to the procedures for arranging transportation in these circumstances, to avoid the situation where a necessary procedure is missed seemingly because of administrative issues.
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, 2014-0498
- 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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