The Coroner photograph

The Coroner

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First episode dateNovember 16, 2015
No. of episodes20 (list of episodes)
Networks BBC One
Composers Debbie Wiseman
Dec 1, 2016
Reviews www.imdb.com
Cast Xavier Guelfi
Product companiBBC Birmingham
No of seri 2
Origin releas16 November 2015 –; 2 December 2016
ProducSandra McIver
GenresDrama
EpisodesEpisodesS02 E10 · CrashDec 2, 2016 S02 E09 · Episode 9Dec 1, 2016 S02 E08 · Episode 8Nov 30, 2016 View 15+ more
Date of Reg.
Date of Upd.
ID1086441
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About The Coroner


Alexandra, a medical examiner, deals with cases involving people who died under mysterious circumstances. She investigates to provide them justice even after facing opposition from her team.

Head teacher says autistic student died despite family's plea for support

Head teacher says autistic student died despite family's plea for support
Nov 30,2023 8:51 pm

... The Coroner said if children with complex needs were not given access to the care and treatment they needed, it was " predictable that a similar incident may arise"...

Ruth Perry: Inquest hears head felt humiliated after Ofsted inspection

Ruth Perry: Inquest hears head felt humiliated after Ofsted inspection
Nov 29,2023 2:01 pm

... Asked by The Coroner whether she thought there was a link between the inspection and how Mrs Perry died, Mrs Leroy said " I believe there is yes"...

Waterbeach: The mystery over a baby found in a recycling tip

Waterbeach: The mystery over a baby found in a recycling tip
Nov 28,2023 8:51 pm

... " Meanwhile, The Coroner has suspended any inquest in the event the baby can be identified in the future...

Family of head teacher hope lessons can be learned

Family of head teacher hope lessons can be learned
Nov 27,2023 10:01 pm

... " We are continuing to support The Coroner s inquest and we will give evidence at the hearing this week...

Betsi Cadwaladr health board criticised over Weetabix death

Betsi Cadwaladr health board criticised over Weetabix death
Nov 23,2023 1:41 pm

... Betsi Cadwaladr health board said it accepted The Coroner s findings...

NHS staff failed mum who died from drinking too much water

NHS staff failed mum who died from drinking too much water
Nov 23,2023 7:31 am

... " We are considering the findings of the jury and The Coroner...

Boy's asthma death was 'consequence of healthcare failures'

Boy's asthma death was 'consequence of healthcare failures'
Nov 22,2023 4:11 pm

... His medication was not changed and he was not referred for further care, The Coroner was told...

Rory Kinnear calls for improvements to health and safety on set

Rory Kinnear calls for improvements to health and safety on set
Nov 20,2023 10:11 pm

... She s been campaigning to change health and safety regulation and training within the industry During the inquest The Coroner said: " The risk of Mr Milsome being harmed or fatally injured was not effectively recognised, assessed, communicated or managed...

Boy's asthma death was 'consequence of healthcare failures'

Nov 20,2023 9:11 am

By Shivani ChaudhariBBC News, Essex

A 10-year-old boy died from an asthma attack as a " consequence of failures by healthcare professionals" a coroner has concluded.

William Gray died at Southend University Hospital in Essex in May 2021.

His Mother claimed his asthma was not taken seriously in the months beforehand.

Following a two-week inquest, area coroner Sonia Hayes concluded that " neglect" contributed to his death.

" There were multiple failures to escalate and treat William's very poorly controlled asthma by healthcare professionals that would and should have saved William's life, " said Ms Hayes.

The inquest, which took place at The Essex coroner's court in Chelmsford, heard how William's asthma was generally well-controlled and he had not been admitted to hospital for any attacks in the three years before October 2020.

But His Mother Christine Hui was forced to give CPR on 27 October that year when he was struggling to breathe and he was admitted to hospital.

The Incident was recorded as a " severe asthma attack" rather than a respiratory attack, the inquest was told.

In spring 2021, William's asthma worsened and Ms Hui spoke to his GP, the asthma nurse and the GP practice nurse a few weeks before he died.

His medication was not changed and he was not referred for further care, The Coroner was told.

Ms Hui slept in the same bed as her son up until 29 May 2021, when he suffered another attack and died in the Early Hours of The Morning .

Ms Hayes's full conclusion noted: " William Gray died as a consequence of failures by healthcare professionals to recognise the severity and frequency of his asthma symptomatology and the consequential risk to his life that was obvious.

" William's death was contributed to by neglect. William's death was avoidable. "

Ms Hayes said there should have been more " medical curiosity" in his case and added: " Record keeping was minimal, contact was minimal and William's voice was nowhere to be heard, and he was Old Enough to be involved. "

Ms Hui said in a statement, at the start of the inquest, that who dreamt of being a doctor.

He died from a cardio respiratory arrest due to acute and severe asthma.

The Essex Partnership University NHS Foundation Trust (EPUT), which runs The Local children's asthma and allergy service, said its " heartfelt sympathies" remained with William's family.

'Learning'

An EPUT spokesperson said: " We continue to work with our partners across the health and care system to ensure children with complex needs and their families receive The Best possible care and support.

" We will be reviewing and acting on The Coroner 's findings. "

The Mid and South Essex NHS Foundation Trust, which runs Southend hospital, said it was " committed to learning from this terrible loss".

Diane Sarkar, The Chief nursing and quality officer at The Trust , said: " Since his death in 2021 we have brought in numerous changes to improve patient care. "

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Source of news: bbc.com

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