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Coroner’s reportPrevention of future deaths · 2023-0413

“The lack of CT scanning prior to hysterectomy, with reliance only on ultrasonography…”

Dated 1 Dec 2015, from the coroner for Inner North London. 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

Report put online after its 56 days

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.

judiciary.uk put this report online on 6 Nov 2023, after the 56 days for replies had ended (26 Jan 2016). These dates can’t tell us whether a reply was due before it went online. A reply may have been sent and not yet published.

  1. Report dated1 Dec 2015
  2. Deadline26 Jan 2016
  3. Published on judiciary.uk6 Nov 2023
  4. Today24 Oct 2026

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Sent toResponse
Royal Free London NHS Foundation TrustReport put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 6 Nov 2023, after the 56 days for replies had ended (26 Jan 2016). These dates can’t tell us whether a reply was due before it went online.

The coroner’s concerns

– (1) The lack of CT scanning prior to hysterectomy, with reliance only on ultrasonography, raises the concern that the diagnosis of uterine sarcoma could be missed in the future and consideration should be given as to whether steps can be taken to address this risk.

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, 2023-0413
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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