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Coroner’s reportPrevention of future deaths · 2022-0199

“I am concerned that the Pathology Department remains significantly under resourced”

Dated 27 Jun 2022, from the coroner for Plymouth, Torbay and South Devon. 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

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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 dated27 Jun 2022
  2. Deadline22 Aug 2022
  3. Published on judiciary.uk23 Sep 2022
  4. Today23 Oct 2026

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Responses from each recipient

The coroner’s concerns

I am concerned that the Pathology Department remains significantly under resourced. I ask you please to:(1) Review the Consultants staffing levels in the Pathology Department particularly those Consultants dealing with Thoracic work so as to ensure timely and accurate diagnosis of conditions at this regional centre.

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, 2022-0199
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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