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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
  • John Haines16 Nov 2017

    Coroner Lisa Hashmi · Manchester (North) · in 4 recurrence links

    Response · 1 stated action
    2017-0402-Response-by-Heywood-Middleton-and-Rochdale-CCG.pdf ↗
    “The CCG commissioned a new Primary Care Mental Health Pathway during 2016/17, which mobilised in May 2017. The model has been developed to respond to the local population needs, preparing service users to access therapy in order to optimise recovery performance. The service is subject to robust a performance dependent payment framework which provides assurance of performance delivery.”
  • Timothy Smedley16 Nov 2017

    Coroner Lisa Hashmi · Manchester (North) · in 1 recurrence link

    Response · 1 stated action
    2017-0398-Response-by-Department-of-Health.pdf ↗
    “We are working towards all care records being digital and interoperable as part of the delivery of patient care.”
  • Daisy French9 Nov 2017

    Coroner Louise Slater · South Yorkshire (West) · in 3 recurrence links

    Response · 1 stated action
    2017-0264-Response-by-Sheffield-Health-and-Social-Care.pdf ↗
    “SC NHS FT will work with local commissioners on the benchmarking exercise”
    Response · 1 stated action
    2017-0264-Response-by-Department-of-Health.pdf ↗
    “the NHS in Sheffield has taken a number of measures to address the concerns raised. This includes training for staff on transitions; the opening of a Section 136 suite at Sheffield Children's Hospital; and the employment of a Mental Health Liaison Consultant to commence in January 2018. In addition, an information sharing agreement is to be drawn up between NHS organisations in Sheffield.”
  • Ryan Vout6 Nov 2017

    Coroner Andrew McNamara · Nottinghamshire

    Response
  • Jane Powell30 Oct 2017

    Coroner Lisa Hashmi · Manchester (North) · in 2 recurrence links

    No published response from this organisation found.

  • Pauline Hayston28 Sept 2017

    Coroner Timothy Brennand · Manchester (West)

    No published response from this organisation found.

  • Gillian O'Keefe28 Sept 2017

    Coroner Angela Hodes · London Inner (West)

    No published response from this organisation found.

  • Coroner Fiona Borrill · Manchester (City) · in 5 recurrence links

    Response · 1 stated action
    2017-0241-Response-by-Department-of-Health.pdf ↗
    “I am advised that work is underway to increase the training of the Fire Service to Extended Community First Responder levels.”
  • Coroner Lisa Hashmi · Manchester (North)

    No published response from this organisation found.

  • Helen Cannon16 Aug 2017

    Coroner Jennifer Leeming · Manchester (City)

    No published response from this organisation found.

  • Pauline Taylor21 Jul 2017

    Coroner Mary Burke · West Yorkshire (West) · in 3 recurrence links

    Response · 1 stated action
    2017-0330-Response-by-MHRA.pdf ↗
    “We aim to have completed our review by the end of 2017 and will consider the need for publication of any additional safety advice at this time in conjunction with our medicine colleagues.”
    Response · 1 stated action
    2017-0330-Response-by-PAGB.pdf ↗
    “PAGB and its member companies recognise that clear information needs to be made available to warn of the risk of increased flammability of clothing and bedding which has been in contact with paraffin-containing emollients.”
  • Edith Robinson19 Jul 2017

    Coroner Lisa Hashmi · Manchester (North) · in 2 recurrence links

    Response · 1 stated action
    Edith-Robinson-Response.pdf ↗
    “the Trust has agreed that all patients will be reviewed daily by the medical team and that the Trust is currently looking to ensure that all trauma patients with severe systemic illness will be reviewed daily by a medical doctor. This will be monitored through Trust audits.”
  • Sabrina Walsh14 Jul 2017

    Coroner James Healy-Pratt · East Sussex

    No published response from this organisation found.

  • Jonathan Zucker26 Jun 2017

    Coroner Andrew Walker · London (North) · in 1 recurrence link

    Response · 1 stated action
    2017-0433-Response-by-PSYCH.pdf ↗
    “The College is aware that CPA policy can be interpreted and applied differently across the country. Ideally a care co-ordinator will be able to negotiate patient discharges and their integration into the care of a new team. However, there are circumstances in which this is not straight-forward, e.g. if a section is ending or a person is being discharged from hospital.”
    Response
  • Dianne Macrae16 Jun 2017

    Coroner Anne Pember · Northamptonshire

    No published response from this organisation found.

  • Dennis Teesdale7 Jun 2017

    Coroner Karen Henderson · West Sussex

    Response · 1 stated action
    2017-0202-Response-by-Department-of-Health.pdf ↗
    “the Trust has responded to you on your concerns and I hope that reply is helpful.”
    Response · 1 stated action
    Dennis-Teesdale-Response-1.pdf ↗
    “The Trust is committed to learning from serious incidents and has made changes to its systems to minimise the risk of a similar incident recurring in the future, including change of PEG policy, and the introduction of a PEG pathway checklist.”
  • Jamie Pashley28 May 2017

    Coroner Julian Morris · London Inner (South)

    No published response from this organisation found.

  • Lucy Goldstone26 May 2017

    Coroner Fiona Borrill · Manchester (City)

    No published response from this organisation found.

  • Stephen Leven15 May 2017

    Coroner R Brittain · London (North) · in 1 recurrence link

    No published response from this organisation found.

  • Coroner Mary Hassell · Inner North London · in 2 recurrence links

    Response · 1 stated action
    2023-0134-Response-from-Department-of-Health-and-Social-Care-.pdf ↗
    “I am hopeful that work underway to change the law to allow schools to hold spare auto-injectors without a named individual prescription, for use as emergency back- up to treat anaphylaxis in children registered by the school as being in receipt of a medical prescription for an auto-injector, will tackle some of the challenges which staff faced in this sad case, and which were set out in your determination.”
    Response · 1 stated action
    2023-0134-Response-from-Barts-Health-NHS-Trust-.pdf ↗
    “Implementation of the Asthma Friendly Schools Project”
  • David Sheppard8 May 2017

    Coroner Louise Hunt · Birmingham and Solihull · in 3 recurrence links

    Response · 1 stated action
    David-Sheppard-Response.pdf ↗
    “the provider has taken a number of measures to address concerns including, but not limited to, the provision of training with first aid, CPR and choking prioritised in the induction process, as well as documentation training sessions and the introduction of an incident reporting questionnaire”
  • Linsay Bushell25 Apr 2017

    Coroner Andre Rebello · Liverpool and Wirral

    No published response from this organisation found.

  • John Higgs10 Apr 2017

    Coroner Sarah Slater · South Yorkshire (West)

    No published response from this organisation found.

  • Isabel Gentry6 Apr 2017

    Coroner Maria Voison · Avon

    No published response from this organisation found.

  • Coroner Simon Nelson · Manchester North

    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