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recurance

Department of Health and Social Care

821
reports received
266
with a published response found
103
recurrence chains
331
reports in those chains
  • Coroner Mary Hassell · Inner North London · in 2 recurrence links

    Response · 1 stated action
    2020-0124-Response-from-Radcliffes-Le-Brasseur_Redacted.pdf ↗
    “Following Ms [name redacted] death, the Practice undertook an audit in October 2019 of all patients who were being prescribed Emerade to ensure that the dosage was in accordance with the BNF based on the respective patients' weight and age. Indeed, all patients who use AAI pens have had their doses reviewed. Patients have been contacted to ensure that they have the correct dose and appropriate knowledge about the use and storage of the pen. Letters were sent to patients on Emerade, which included”
    Response · 1 stated action
    2020-0124-Response-from-NICE_Redacted.pdf ↗
    “we will consider how best to make clear In CG134 the advice that 2 adrenaline auto-injectors should be prescribed, which patients should carry at 811 tfflls.”
    Response
  • James Wheeler3 Jan 2020

    Coroner Chris Morris · Manchester (South)

    No published response from this organisation found.

  • Coroner Adrian Farrow · Manchester (South)

    No published response from this organisation found.

  • Julie Taylor24 Dec 2019

    Coroner Alison Mutch · Manchester (South)

    No published response from this organisation found.

  • Lewis Mendelson17 Dec 2019

    Coroner Alison Mutch · Manchester (South)

    No published response from this organisation found.

  • Joyce Marchant16 Dec 2019

    Coroner Alison Mutch · Manchester (South)

    No published response from this organisation found.

  • Steven Marsland13 Dec 2019

    Coroner Alison Mutch · Manchester (South) · in 1 recurrence link

    No published response from this organisation found.

  • Leah Cambridge29 Nov 2019

    Coroner Kevin McLoughlin · West Yorkshire (East)

    No published response from this organisation found.

  • Maureen Milton22 Nov 2019

    Coroner Margaret Jones · Staffordshire (South) · in 2 recurrence links

    Response
    Response · 1 stated action
    2019-0396-Response-by-Department-of-Health-and-Social-Care.pdf ↗
    “the MHRA has convened a stakeholder group that includes representatives from the fire service, healthcare professionals and their representative bodies, organisations that provide guidance to health and social care workers, patient representatives and organisations that speak for relevant patient populations such as the National Eczema Society. The stakeholder group is designing and optimising sustainable training and educational resources for healthcare professionals and the public and their method”
  • Katie Croft19 Nov 2019

    Coroner Alison Mutch · Manchester (South) · in 1 recurrence link

    No published response from this organisation found.

  • Coroner Nigel Parsley · Suffolk · in 1 recurrence link

    No published response from this organisation found.

  • Averil Skoric15 Nov 2019

    Coroner Alison Mutch · Manchester (South)

    No published response from this organisation found.

  • Joanna Flynn14 Nov 2019

    Coroner Caroline Beasley-Murray · Essex

    No published response from this organisation found.

  • Stuart Clarke6 Nov 2019

    Coroner Rachel Galloway · Manchester City

    No published response from this organisation found.

  • Douglas Oak24 Oct 2019

    Coroner Rachael Griffin · Dorset · in 4 recurrence links

    Response · 1 stated action
    2019-0352-Response-by-St-Johns-Ambulance.pdf ↗
    “providing additional Continuous Professional Development training around Acute Behavioural Disturbance”
    Response
  • Alex Malcolm15 Oct 2019

    Coroner Andrew Harris · London Inner (South) · in 3 recurrence links

    No published response from this organisation found.

  • Derek Weaver15 Oct 2019

    Coroner Andrew Harris · London Inner (South)

    No published response from this organisation found.

  • Coroner Maria Voisin · Avon

    No published response from this organisation found.

  • Oliver Sharp1 Oct 2019

    Coroner Alison Mutch · Manchester (South) · in 2 recurrence links

    No published response from this organisation found.

  • Owen Carey30 Sept 2019

    Coroner Briony Ballard · London Inner (South) · in 2 recurrence links

    Response · 1 stated action
    2019-0335-Response-by-BSACI.pdf ↗
    “The BSACTI believes that there is a need for 2 distinct registries. The first is a national register for all anaphylactic reactions, that can be contributed to by any health care professional and would provide invaluable data on emerging patterns of reactions and their circumstances and effectively operate as an early warning signal for new risks and highlight specific situations where risk is higher so that they can be actively mitigated. Such a registry already exists in Europe and the Food St”
    Response · 1 stated action
    2019-0335-Joint-response-from-FSA-DEFRA-and-DHSC-Redacted.pdf ↗
    “The FSA will be hosting an Allergy Symposium in”
  • Julie Barrow30 Sept 2019

    Coroner Alison Mutch · Manchester (South) · in 1 recurrence link

    Response · 1 stated action
    2019-0325-Response-from-The-Department-of-Health-and-Social-Care.pdf ↗
    “In June 2018, NHS Improvement published Learning Disability Improvement Standards for NHS trusts in England'. The Standards are intended to help NHS trusts measure the quality of service they provide to people with learning disabilities, autism or both”
  • Charles Williamson30 Sept 2019

    Coroner Alison Mutch · Manchester (South)

    Response
  • William Oliver12 Sept 2019

    Coroner Joanne Kearsley · Manchester (North) · in 1 recurrence link

    Response
    Response · 1 stated action
    2019-0494-Response-by-Stockport-NHS-Trust.pdf ↗
    “The trust uses an electronic patient tracking system in the emergency department which enables the organisation to have a live display of the progress of patients through the department. There is also a screen displaying ambulance arrival times, number of inbound ambulances and ambulance turn around times. Both these screens are monitored by the - departments shift coordinator who directs the workflow accordingly. This information is also available at all times to the hospital control room”
  • Shannon Quinn6 Sept 2019

    Coroner Zafar Siddique · Black Country · in 3 recurrence links

    No published response from this organisation found.

  • Justin Gallagher16 Aug 2019

    Coroner Alan Craze · East Sussex · in 3 recurrence links

    Response · 1 stated action
    2019-0491-Response-by-HM-Prison-and-Probation-Service.pdf ↗
    “The Governor of HMP Lewes is committed to providing resources for external escorts to medical appointments. Currently, sufficient escorting staff are made available for three external hospital escorts each weekday, and appointments are prioritised by the healthcare team. In the event that there are inadequate resources because of other operational pressures and it is necessary to consider the cancellation of an external appointment, the Duty Governor contacts the healthcare team for advice on”
    Response
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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