“All investigative procedures could not be undertaken privately and transfer to the…”
Dated 25 Jun 2014, from the coroner for South Yorkshire East. Sent to 5 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 20 Aug 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.
- Report dated25 Jun 2014
- Deadline20 Aug 2014
- Published on judiciary.uk25 Jun 2014
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Department of Health and Social CareNamed in the report as “Department of Health” | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 20 Aug 2014. A reply may have been sent and not yet published. |
| NHS England | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 20 Aug 2014. A reply may have been sent and not yet published. |
| BMI Hospital Thornbury | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 20 Aug 2014. A reply may have been sent and not yet published. |
| Sheffield Teaching Hospitals NHS Foundation Trust | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 20 Aug 2014. A reply may have been sent and not yet published. |
| REDACTED | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 20 Aug 2014. A reply may have been sent and not yet published. |
The coroner’s concerns
– (1) All investigative procedures could not be undertaken privately and transfer to the National Health Service was necessary to complete investigations. (2) In the private sector there was delay initiating investigative procedures after the th consultation on 29 June 2010. (3) Although Peter John Hinchliffe died approximately two weeks after transfer into the NHS system no further progress would have been made until after the MDT meeting in early October some 4 – 5 months after the incident of syncope. (4) Evidence revealed significant differences in the times and routes taken to undertake investigative procedures in cases where there is a differential diagnosis including ARVC. (5) The evidence revealed inconsistencies of approach in advice to fit young athletes as to future exercise in what was generally acknowledged to be a ‘red flag’ situation. (6) Whilst there has been greater awareness since 2010 both locally and nationally of the need for timely and appropriate management of syncope in young athletes the approach to the problem does not appear to be consistent nationally and there is a continuing need to emphasise and act on this issue. 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, 2014-0284
- Added to Minute Book
- 8 Oct 2026
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- We show short extracts and link to the original. We don’t host the full report.
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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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