“There is no legal requirement to register or re‐register a child with a General…”
Dated 22 Oct 2015, from the coroner for Nottinghamshire. 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 17 Dec 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 dated22 Oct 2015
- Deadline17 Dec 2015
- Published on judiciary.uk22 Oct 2015
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Public Health England | Response publishedPublished on judiciary.uk in October 2015. |
| Department of Health and Social CareNamed in the report as “Department of Health” | Response publishedPublished on judiciary.uk in October 2015. |
| Nottinghamshire Safeguarding Children Board | Response 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. |
| General Medical Council | Response publishedPublished on judiciary.uk in October 2015. |
| Nottingham City Clinical Commissioning Group | Response 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. |
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
1. There is no legal requirement to register or re‐register a child with a General Practitioner 2. There is no reliable system in place to identify when a child has been deregistered from a General Practice 3. There are potential safeguarding concerns if a General Practitioner can de‐register a child, particularly a child with chronic health needs, before a new General Practitioner has been identified and notified of the proposed de‐registration 4. The paediatric team and physiotherapy services were not directly informed that Harry was going to be de‐registered or had been deregistered 6 ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and I believe you and your organisation have the power to take such action. You should consider a REGULATION 28: REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: 1. 2. 3. 4. 5. DUNCAN SELBIE, CHIEF EXECUTIVE OF PUBLIC HEALTH ENGLAND SECRETARY OF STATE FOR HEALTH, DEPARTMENT OF HEALTH NOTTINGHAMSHIRE SAFEGUARDING CHILDREN BOARD NIALL DICKSON, CHIEF EXECUTIVE, GENERAL MEDICAL COUNCIL NOTTINGHAM CITY CLINICAL COMMISSIONING GROUP review of the procedures for the registration of children with General Practitioners 7 YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report, namely by 14 December 2015, I the assistant coroner, may extend the period.
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, 2015-0409
- Added to Minute Book
- 8 Oct 2026
- Reuse
- 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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