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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
  • Michael Parke18 Jan 2017

    Coroner David Roberts · Cumbria · in 1 recurrence link

    Response · 1 stated action
    2017-0024-Response.pdf ↗
    “Boards were asked to assess and address compliance issues by 21 April 2017”
  • Amanda Coulthard18 Jan 2017

    Coroner David Roberts · Cumbria · in 2 recurrence links

    Response · 1 stated action
    2017-0024-Response.pdf ↗
    “Boards were asked to assess and address compliance issues by 21 April 2017”
  • Dominic Travis7 Dec 2016

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

    No published response from this organisation found.

  • Coroner Karen Henderson · Surrey

    Response · 4 stated actions
    2016-0424-Response-by-RCPSYCH.pdf ↗
    “I shall liaise with the Chair of our Special Committee for Psychopharmacology to publicize these matters to the members and fellows of the RCPsych”
    “I shall liaise with the Chair of the Faculty of Old-Age Psychiatry to determine the best way to raise these issues with old-age psychiatrists”
    “We will review our continuing medical education initiatives to ensure that this issue is comprehensively covered in RCPsych material”
    “I shall inform the Presidents of the Royal Colleges of Physicians and General Practitioners, by copy of this letter, of our plans and will be ready to work with them in any suitable joint ventures”
    Response · 1 stated action
    2016-0424-Response-by-MHRA.pdf ↗
    “We have reviewed the product information (Summary of Product Characteristics [SmPC] and Patient Information Leaflet) of olanzapine, mirtazapine and indapamide and are satisfied that all three contain appropriate warnings regarding the risk of QT prolongation, particularly when used with other medication that also causes QT prolongation.”
  • David Knight14 Nov 2016

    Coroner Emma Carlyon · Cornwall and the Isles of Scilly · in 6 recurrence links

    Response · 1 stated action
    2016-0414-Response-by-Department-of-Health.pdf ↗
    “We will eliminate clinically unnecessary out of area placements for adult acute mental health care by 2020/21 and will reduce significantly delayed transfers of care.”
  • Karen Thorne11 Nov 2016

    Coroner Alan Walsh · Manchester (West)

    No published response from this organisation found.

  • Simon Harper9 Nov 2016

    Coroner Sarah Slater · South Yorkshire (West)

    No published response from this organisation found.

  • Jane Reason25 Oct 2016

    Coroner Louise Hunt · Birmingham and Solihull · in 1 recurrence link

    Response · 1 stated action
    2016-0376-Response-by-British-Heart-Foundation.pdf ↗
    “The BHF has been a key partner in running national awareness campaigns about the importance of bystander CPR skills on "European Restart a Heart Day" for 3 years and have recently worked with a number of partners including the UK Resuscitation Council, British Red Cross, St John Ambulance and the 14 UK ambulance services to provide resources and support training of 150,000 young people in one day at a number of events across the UK on 18th October 2016”
  • Ivy Atkin25 Oct 2016

    Coroner Stephanie Haskey · Nottinghamshire

    Response
  • Richard Walsh25 Oct 2016

    Coroner Andrew Harris · London Inner (South) · in 1 recurrence link

    Response · 1 stated action
    2016-0377-Response-by-Department-of-Health.pdf ↗
    “You asked that the inquest findings be brought to the attention of those who lead the 'Departmental training programme' for Approved Mental Healthcare Practitioners (AMHPs) and consideration be given as to whether further guidance or training regarding Mental Health Act Assessments is required.”
    Response · 1 stated action
    2016-0377-Response-by-Virgin-Care-Limited.pdf ↗
    “We attach as Appendix A a copy of the”
    Response · 1 stated action
    2016-0377-Response-by-Health-Care-Professions-Council.pdf ↗
    “We will ensure that the new regulator is aware of this report and our correspondence.”
  • Coroner Christopher Dorries · South Yorkshire (West)

    No published response from this organisation found.

  • Robert Davidson13 Oct 2016

    Coroner Louise Hunt · Birmingham and Solihull

    Response
    Response · 1 stated action
    2016-0363-Response-by-Priory-Group.pdf ↗
    “«This incident and the lessons learnt from it i.e. to ensure effective communication at the point of a resident's transfer or discharge to another provider will be raised in a forthcoming issue of our quarterly Safety 1* bulletin which is shared across all of our Amore Care Homes.”
    Response
  • Amy El-Keria3 Oct 2016

    Coroner Penelope Schofield · East Sussex · in 1 recurrence link

    Response
    Response · 1 stated action
    2016-0347-Response-by-Department-of-Health.pdf ↗
    “The Department of Health published good practice guidance on assessing and managing risk in mental health in 2009. This can be accessed through the GOV.UK. website at the following address: https://www.gov.uk/government/publications/assessing-and-managing-risk-in-”
    Response · 1 stated action
    2016-0347-Response-by-Priory-Group.pdf ↗
    “We note your comments in relation to the QNIC guidance published by the Royal College of Psychiatrists and we consider that this is still an appropriate reference point for the staffing of CAMHS units and continues to be used by many providers in determining and monitoring appropriate staffing levels.”
    Response · 1 stated action
    2016-0347-Response-from-Priory.pdf ↗
    “We note your comments in relation to the QNIC guidance published by the Royal College of Psychiatrists and we consider that this is still an appropriate reference point for the staffing of CAMHS units and continues to be used by many providers in determining and monitoring appropriate staffing levels.”
    Response · 1 stated action
    2016-0347-Response-from-Department-of-Health-and-Social-Care.pdf ↗
    “community where they live. NHS England and Health Education England (HEE) are working to improve the capacity and capability of workforce delivering mental health care for children and young people, so that by 2020 an additional 70,000 receive effective treatment per year. This work extends to supporting training programmes for staff working in inpatient CAMHS to improve team functioning and delivery of evidence-based care.”
  • Arthur Adley13 Sept 2016

    Coroner Andrew Walker · London (North)

    No published response from this organisation found.

  • Roy Millar13 Sept 2016

    Coroner Andrew Cox · Plymouth Torbay and South Devon

    No published response from this organisation found.

  • Keith Ruston13 Sept 2016

    Coroner Martin Fleming · West Yorkshire (West)

    No published response from this organisation found.

  • Dildar Shariff7 Sept 2016

    Coroner Julie Robertson · Manchester (North)

    No published response from this organisation found.

  • Louise Turner7 Sept 2016

    Coroner Lydia Brown · Exeter and Greater Devon

    No published response from this organisation found.

  • Michael Dundon23 Aug 2016

    Coroner David Hinchliff · West Yorkshire (East)

    No published response from this organisation found.

  • Miles Abel29 Jul 2016

    Coroner Ian Singleton · Wiltshire and Swindon

    No published response from this organisation found.

  • James Kane15 Jul 2016

    Coroner Andrew Tweddle · County Durham and Darlington · in 1 recurrence link

    No published response from this organisation found.

  • Dominic Smith30 Jun 2016

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

    Response · 1 stated action
    2016-0240-Response-by-RCPCH.pdf ↗
    “the RCPCH is unable to comment on the specifics of the case and the Pennine Acute Hospitals NHS Trust has been asked to respond directly on local communication, record keeping and policies and procedures.”
  • Kirsty Childs24 Jun 2016

    Coroner Mary Burke · West Yorkshire (West)

    No published response from this organisation found.

  • Coroner Christopher Williams · London Inner (South)

    No published response from this organisation found.

  • Kevin Dermott13 Jun 2016

    Coroner Nicholas Rheinberg · Cheshire · in 1 recurrence link

    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