“It is NOT suggested that any suspicious conduct has taken place”
Dated 22 Jan 2025, from the coroner for West Yorkshire (Eastern). 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.
The 56-day response deadline
Deadline passedReplies were due by 19 Mar 2025. 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 dated22 Jan 2025
- Deadline19 Mar 2025
- Published on judiciary.uk22 Jan 2025
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| General Medical Council | Response publishedPublished on judiciary.uk in January 2025. |
| REDACTED | 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. |
Some responses were published as scans, so their text was read automatically. Check the wording against the original before you quote it.
The coroner’s concerns
– It is NOT suggested that any suspicious conduct has taken place. The matter is reported as it is understood to be a cardinal principle that a doctor should not treat a close relative. The following documents accompany this report: 1 Post mortem report dated 15th January 2025 2 My letter to ACTION 6 dated 14th November 2024 SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and I believe your organisation has the power to take such action.
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, 2025-0039
- 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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