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Samantha Singh

Ref: 2021-0225 Date: 2 Jul 2021 Coroner: Graeme Irvine Area: East London 0 responses identified · 2 indexed addressees View PDF

AI-generated concerns summaryConcerns were raised regarding the surgery's incorrect categorisation of a RAST test, the prescription of a single EpiPen contrary to NICE guidance, and the lack of a referral to an allergy clinic or follow-up.

Date 2 Jul 2021
56-day deadline 27 Aug 2021 stated in the report
Responses identified 0 of 2
Community health care and emergency services related deaths Other related deaths

Coroner's concerns

AI summary
Concerns were raised regarding the surgery's incorrect categorisation of a RAST test, the prescription of a single EpiPen contrary to NICE guidance, and the lack of a referral to an allergy clinic or follow-up.
View full coroner's concerns
(1) Results of Miss Singh's RAST test were wrongly categorised by the surgery as normal. As such, no further action was indicated by the surgery. It was only Ms Singh's perseverance that led to a follow-up appointment being arranged to discuss the results with her GP where the mistake was discovered (2) At a GP appointment on 27 November 2019, Miss Singh was prescribed a single EpiPen, NICE guidance at the time indicated that no fewer than two epi-pens should be prescribed to a patient_ (3) Following the appointment on 27 November 2019 Miss Singh was not referred to allergy clinic or offered a follow-up appointment to address issues arising from her allergy diagnosis_

Report sections

Investigation and inquest
On 297H July 2020 | commenced an investigation into the death of Samantha Singh, 26 years old, The investigation concluded at the end of the inquest on 22nd June 2021 . conclusion of the inquest was cause of death: 1a Anaphylactic shock 1b Allergy to nuts_ acting Jukpga The

A short form conclusion of accidental death was arrived at
Circumstances of the death
Miss Samantha Singh attended her general practitioner's surgery in November 2019 to raise a concern regarding her suspicion that she suffered from a nut allergy. Following a RAST test Miss Singh was assessed to suffer from a mixed nut allergy, she was prescribed an EpiPen_ On 25 2020 Miss Singh became unwell at home and suffered a cardiac arrest attributable to anaphylactic shock: Despite best efforts of her family and emergency services she could not be resuscitated_
Action should be taken
In my opinion action should be taken t0 prevent future deaths and believe you [ANDIOR your organisation] have the power to take such action_

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Report details

Reference
2021-0225
Date of report
2 July 2021
Coroner
Graeme Irvine
Coroner area
East London

Responses identified

Responses identified 0 of 2
2 responses not yet linked

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 27 Aug 2021 (stated in the report).

Sent to

Hainault Surgery
SMA Medical Practice

Source links

Judiciary.uk page → Report PDF →

Data: judiciary.uk.

Contains public sector information licensed under the Open Government Licence v3.0.