Care Quality Commission
Coroner Sally Robinson · Essex
No published response from this organisation found.
Coroner Edward Steele · East Riding and Hull
No published response from this organisation found.
Coroner Edward Steele · East Riding and Hull
No published response from this organisation found.
Coroner Sally Robinson · East Riding and Hull · in 2 recurrence links
No published response from this organisation found.
Coroner Richard Furniss · West London · in 1 recurrence link
No published response from this organisation found.
Coroner Darren Stewart · Surrey
No published response from this organisation found.
Coroner Linda Lee · Coventry · in 15 recurrence links
No published response from this organisation found.
Coroner Linda Lee · Coventry · in 14 recurrence links
No published response from this organisation found.
Coroner Alan Wilson · Blackpool & Fylde
No published response from this organisation found.
Coroner Alan Anthony · Blackpool & Fylde · in 1 recurrence link
No published response from this organisation found.
Coroner Sarah Wood · Nottingham City and Nottinghamshire · in 6 recurrence links
No published response from this organisation found.
Coroner Susan Ridge · Surrey · in 1 recurrence link
No published response from this organisation found.
Coroner Alison Mutch · Manchester South
No published response from this organisation found.
Coroner Louise Hunt · Birmingham and Solihull
No published response from this organisation found.
- Keith Hankin: Prevention of future deaths report17 Sept 2025
Coroner Karen Henderson · West Sussex, Brighton and Hove
Response · 1 stated action
2025-0472-Response-from-Circle-Health-Group.pdf ↗“CHG has in place, and stringently applies, a Practising Privileges policy which requires those seeking practising privileges to provide robust evidence of their qualifications, experience and competencies to ensure it is suitable for them to practise at our hospitals using the title of”
Coroner Andrew Bridgman · Manchester South
No published response from this organisation found.
Coroner Rebecca Sutton · County Durham and Darlington · in 1 recurrence link
No published response from this organisation found.
Coroner Edward Steele · East Riding of Yorkshire and City of Kingston Upon Hull · in 1 recurrence link
No published response from this organisation found.
Coroner Karen Henderson · Surrey · in 1 recurrence link
No published response from this organisation found.
Coroner Alison Mutch · Manchester South · in 8 recurrence links
Coroner Richard Middleton · Dorset
No published response from this organisation found.
Coroner Karen Henderson · Surrey · in 1 recurrence link
Response · 1 stated action
2025-0107-Response-from-CQC.pdf ↗“We will ask the trust for the action they intend to take because of this Prevention of Future Deaths Report and monitor those actions as part of our ongoing monitoring and engagement with them.”
Response · 1 stated action
2025-0107-Response-from-NHSE.pdf ↗“NHS England has published a summary of existing guidance on the deployment of medical associate professions for NHS organisations. This guidance makes it clear that all staff should introduce themselves and their role clearly and be supported by their employer to do so.”
Response · 1 stated action
2025-0107-Response-from-RCEM.pdf ↗“RCEM issued a position statement in October 2024 regarding patients who may require a laparotomy [7]; this statement highlights that some patients are at greater risk of requiring surgery and part of this group includes the older person and those with cognitive impairment.”
Response · 1 stated action
2025-0107-Response-from-DHSC.pdf ↗“the Department notes that the report has been sent to a number of medical Royal Colleges and professional bodies relating to anaesthesia. We think these organisations are best placed to respond to points 6, 7 and 8 of your report which relate specifically to guidelines around anaesthesia therefore our response focuses on points 1 - 5 only.”
Coroner Andrew Harris · London South · in 2 recurrence links
Response · 1 stated action
2025-0123-Response-from-DHSC.pdf ↗“The MHRA will engage with stakeholders to ensure the regulatory documents for clozapine meet the needs of both patients and prescribers.”
Coroner Andrew Harris · South London · in 1 recurrence link
No published response from this organisation found.
Coroner Edward Steele · East Riding of Yorkshire and City of Kingston Upon Hull
Response · 1 stated action
2025-0041-Response-from-CQC.pdf ↗“We provide the formal response of the Care Quality Commission (CQC) to the Regulation 28 Preventing Future Deaths report made by HM Coroner (Mr Edward Steele, Assistant Coroner) following the inquest into the death of Mr [name redacted].”