Tamara Mills

PFD Report Historic (No Identified Response) Ref: 2015-0416
Date of Report 29 October 2015
Coroner Terence Carney
Coroner Area Gateshead & South Tyneside
Response Deadline est. 24 December 2015
Child Death (from 2015) Hospital Death (Clinical Procedures and medical management) related deaths
Judiciary.uk Report PDF
Coroner's Concerns (AI summary)
Concerns were raised that the child's asthma care focused only on acute presentations, failing to address the underlying chronic condition holistically across repeated hospital visits.
View full coroner's concerns
The care management and treatment of this child on the innumerable occasions she presented with an exacerbation of asthma, was centred solely on treating the immediate presentation as an isolated acute
Sent To
  • Farnham Medical Centre
  • Health Education England
  • National Institute for Health and Care Excellence
  • Newcastle & Gateshead Clinical Commissioning Group
  • Newcastle NHS Trust
  • NHS England
  • South Tyneside Clinical Commissioning Group
  • South Tyneside NHS Trust
  • Sunderland NHS Trust
Response Status
Linked responses 0 of 9
56-Day Deadline 24 Dec 2015
About PFD responses

Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.

Source: Courts and Tribunals Judiciary

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Related Inquiry Recommendations

Public inquiry recommendations addressing similar themes

Audit of LCC Child and Youth Justice Service
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Underinvestment in Children's Social Care
Audit of Young Adults Team transition assessments
Southport Inquiry
Underinvestment in Children's Social Care
LCC education provision and attendance audit
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Underinvestment in Children's Social Care
Remedial steps for failing education authorities
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Deputy CMO for Children's Healthcare
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Establish a ministerial Children and Families Board within government
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Underinvestment in Children's Social Care
Government inspectorates to assess quality and inter-agency effectiveness for child services
Laming Inquiry
Underinvestment in Children's Social Care
Train child protection officers to confidently challenge other professionals' views
Laming Inquiry
Underinvestment in Children's Social Care
Home Office to actively maintain child protection investigation standards through inspections
Laming Inquiry
Underinvestment in Children's Social Care
Home Office to implement national child protection officer training curriculum
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.