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recurance

Cygnet Health Care

5
reports received
1
with a published response found
0
recurrence chains
0
reports in those chains
  • Coroner Sonia Hayes · Essex

    No published response from this organisation found.

  • Coroner Elizabeth Didcock · Nottinghamshire

    No published response from this organisation found.

  • Coroner Clement Goldstone · Derby and Derbyshire

    Response · 6 stated actions
    2024-0088-Response-from-Cygnet.pdf ↗
    “PFD action plan was reviewed at Clinical Governance meetings on 22 March 2024. It is listed to be an agenda item every month until September 2024 and provided that all actions are embedded at that point, it will be closed.”
    “The action plan has been shared with the Senior Management Team for, and the Multi-Disciplinary Team (MDT) and all staff involved in Mr [name redacted] care at, Cygnet Hospital Derby.”
    “The action plan is included in Cygnet Derby Overarching Local Action Plan (OLAP) and reviewed bi-monthly by the General Manager, Hospital Manager, and Clinical Manager to ensure completion and embedding of the actions.”
    “The action plan was discussed and agreed at Medical Advisory Committee (MAC) (8 March 2024).”
    “The action plan will also be disseminated to NHS IMPACT Contract meeting for Commissioner scrutiny and openness of process (23 May 2024).”
    “The manipulation measurement tool, currently used for females, to be added as an addendum to the HCR-20 (a Secure Services Standard Risk Assessment tool for baseline risk assessment) and used for males going forward.”
  • Coroner Abigail Combes · South Yorkshire Western

    No published response from this organisation found.

  • Lisa Inkin13 Feb 2014

    Coroner Dr Fiona Wilcox · London Inner (West)

    No published response from this organisation found.

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error