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Coroner’s reportPrevention of future deaths · 2020-0156

“The court heard evidence that the Consultant Radiologist on-call for the Trust and…”

Dated 11 Aug 2020, from the coroner for Manchester South. 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.

Read the full report on judiciary.uk

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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; a reply may have been sent and not yet published.

  1. Report dated11 Aug 2020
  2. Deadline6 Oct 2020
  3. Published on judiciary.uk21 Oct 2020
  4. Today23 Oct 2026

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Responses from each recipient

The coroner’s concerns

1. The court heard evidence that the Consultant Radiologist on-call for the Trust and reporting on urgent out-of-hours imaging from home, had more limited remote access to relevant systems than radiologists working for remote reporting companies and had been provided with less equipment than such an individual. Given the importance of effecflve out-of-hours reporting of imaging to emergency I care, t is considered authoritative guidelines as to requi~ite access and recommended equipment could assist in reducing such variations.

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, 2020-0156
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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