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12 August 2025

HM Senior Coroner for South Yorkshire (West) to formally open inquest into death of five-year-old Yusuf Mahmud Nazir

2 mins

Date: Thursday 14 August 2025 at 9am

Venue: Medico-Legal Centre, Watery Street, Sheffield S3 7ES

Before: HM Senior Coroner for South Yorkshire (West), Mrs Tanyka Rawden

Following publication of the Independent Patient Safety Investigation (IPSI) Report on 31 July 2025 and Yusuf’s family writing to HM Senior Coroner for South Yorkshire (West), Mrs Tanyka Rawden, an inquest will be formally opened into Yusuf Mahmud Nazir’s death on Thursday 14 August 2025 at the Medico-Legal Centre, Watery Street, Sheffield S3 7ES.

It is anticipated that after the formal opening of Yusuf’s inquest that a Pre-Inquest Review Hearing will be set for later in the year and then a full inquest.

Yusuf’s Uncle, Zaheer Ahmed, will be attending the hearing as the family’s representative and spokesperson. 

The family’s legal team is Counsel Adam Wagner KC from Doughty Street Chambers and Partner Anna Thwaites from Bindmans.

Background

Yusuf Mahmud Nazir died on 23 November 2022 at Sheffield Children’s Hospital. He first started feeling ill on Sunday 13 November 2022.  Yusuf had contact with his GP twice on 15 and 18 November 2022, 111, Rotherham General Hospital, 999, Yorkshire Ambulance Service and Sheffield Children’s Hospital where he was admitted between 18-23 November 2022.  He was diagnosed with tonsillitis and subsequently developed sepsis, respiratory failure and pneumonia.

There were two independent investigations into the care and treatment that Yusuf received.  The family was dissatisfied with the first investigation; this lead to a second investigation being commissioned by NHS England. This was after Yusuf’s family met with the then Shadow Secretary for Health and Social Care, Wes Streeting MP, and subsequently the acting Secretary of State for Health and Social Care, Victoria Atkins MP.

The second report into Yusuf’s care and treatment was published on 31 July 2025.  Criticisms included not listening to the parental voice across multiple medical setting and the care Yusuf received on Ward 4 at Sheffield Children’s Hospital.

The second report made sixteen recommendations, including national recommendations.

Find out more about our Inquests services here.

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