“No pre-treatment images were taken of Mr Lawler’s spine”
Dated 26 Nov 2022, from the coroner for North Yorkshire and York. 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.
The 56-day response deadline
Deadline passedReplies were due by 21 Jan 2023. 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 dated26 Nov 2022
- Deadline21 Jan 2023
- Published on judiciary.uk4 Jan 2023
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| General Chiropractic Council | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 21 Jan 2023. A reply may have been sent and not yet published. |
The coroner’s concerns
(1) No pre-treatment images were taken of Mr Lawler’s spine. Ossification of the spine was not known until post-trauma CT images were obtained. (2) A review of the requirement for pre-treatment imaging may inform whether a patient is suitable for treatment. (3) Mr Lawler was mobilised from the treatment table to a chair after loss of sensation in his arms. (4) Consideration should be given to making First Aid training mandatory for chiropractors
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, 2022-0410
- 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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