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Coroner’s reportPrevention of future deaths · 2016-0257

“1 | Consultant Gastroenterologist gave live evidence, During that evidence he conceded…”

Dated 18 Jul 2016, from the coroner for South Lincolnshire. Sent to 1 organisation or person.

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 12 Sep 2016. 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 dated18 Jul 2016
  2. Deadline12 Sep 2016
  3. Published on judiciary.uk18 Jul 2016
  4. Today23 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
United Lincolnshire Teaching Hospitals NHS TrustNamed in the report as “United Lincolnshire Hospitals NHS Trust”Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 12 Sep 2016. 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 | Consultant Gastroenterologist gave live evidence, During that evidence he conceded that he hadn't been able to fully complete a Biopsy report for Unilabs as there was insufficient room on it. Surely a form can be expanded or provision made for an addendum?

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, 2016-0257
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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