“The Record concludes that had the GP been informed of the boy’s deterioration either 4…”
Dated 29 May 2020, from the coroner for Inner South London. Sent to 4 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 24 Jul 2020. 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 dated29 May 2020
- Deadline24 Jul 2020
- Published on judiciary.uk10 Jun 2020
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| London Ambulance Service NHS Trust | Response publishedPublished on judiciary.uk in June 2022. |
| Lewisham Council | 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. |
| Sydenham Green Group General Practice | Response publishedPublished on judiciary.uk in June 2022. |
| Lewisham and Greenwich NHS TrustNamed in the report as “Lewisham & Greenwich NHS Trust” | 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. |
The coroner’s concerns
– 1. The Record concludes that had the GP been informed of the boy’s deterioration either 4 days before the antibiotic was started or soon after, he would have been admitted to hospital with a real prospect of the infection being successfully treated. 2. There was also a distressing dispute between the ambulance crew and parents as to which hospital Omarian should be taken, in the event he was not taken to the nearest hospital at the insistence of his parents (although in this instance the delay was not found to have contributed to the death).
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, 2020-0114
- 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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