Inquiry into death of young Black man?

It’s still not clear whether there will be an inquiry into the death two years ago of a young Black man who, unable to get attention in the ER of the Jewish General, went to a friend’s place and died of untreated peritonitis. There’s a discrepancy that has to be explained between his triage assessment (“Priority 3, which means he should have been seen within 30 minutes”) and the hospital’s subsequent failure to do anything for him for 4 hours, so that he left to find a place where he could lie down.