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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
  • Parv Patel29 Sept 2015

    Coroner Andrew Walker · London (North)

    No published response from this organisation found.

  • Harry Pryal28 Sept 2015

    Coroner Alan Walsh · Manchester (West)

    No published response from this organisation found.

  • William Harnell22 Sept 2015

    Coroner Andrew Cox · Plymouth, Torbay and South Devon · in 2 recurrence links

    Response · 1 stated action
    2015-0384-Response-by-Department-of-Health.pdf ↗
    “HEE will work with key partners, including the RCR, to ensure that the NHS has available the right number of trained staff to deliver the current and future demand for diagnostic tests.”
    Response
  • Rosalind Baird2 Sept 2015

    Coroner David Horsley · Portsmouth and South East Hampshire

    No published response from this organisation found.

  • Eileen Smith12 Aug 2015

    Coroner Edward Thomas · Hertfordshire

    No published response from this organisation found.

  • Julia Hayward11 Aug 2015

    Coroner Simon Wickens · Surrey

    No published response from this organisation found.

  • James Adams7 Aug 2015

    Coroner Emma Carlyon · Cornwall and the Isles of Scilly · in 4 recurrence links

    Response · 1 stated action
    James-Adams-Response.pdf ↗
    “Kernow CCG has agreed to carry out a full review both of acute psychiatric beds in Cornwall and the staffing of the place of safety service and will produce an action plan and commissioning strategy”
  • Robert Hogg6 Aug 2015

    Coroner Crispin Butler · Buckinghamshire

    No published response from this organisation found.

  • Anthony Dwyer30 Jul 2015

    Coroner Andrew Walker · London (North)

    No published response from this organisation found.

  • Doreen England23 Jul 2015

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

    Response · 1 stated action
    2015-0291-Responses.pdf ↗
    “was to write to you again in March 2016 to confirm that all future actions have indeed been delivered.”
  • Stanley Oliver16 Jul 2015

    Coroner Alan Walsh · Manchester (West)

    No published response from this organisation found.

  • Isabella Drew16 Jul 2015

    Coroner Nicola Mundy · South Yorkshire (East)

    No published response from this organisation found.

  • Emma Carpenter14 Jul 2015

    Coroner Stephanie Haskey · Nottinghamshire · in 4 recurrence links

    Response · 1 stated action
    Carpenter-2015-0276a.pdf ↗
    “The Trust has now set up a specialist Eating Disorder Service for children and adolescents, and reports that although this service now has good professional links with named paediatricians at Kings Mill Hospital and Queen's Medical Centre, there are no equivalent links with Bassetlaw Hospital.”
    Response
    Response · 1 stated action
    2015-0276-Response-by-Doncaster-and-Bassettlaw-Hospitals-NHS-Trust.pdf ↗
    “We have an identified Consultant and will actively engage with the services provided by Nottinghamshire Healthcare Trust as the need arises and will monitor these arrangements through the paediatric clinical governance team.”
  • Coroner Simon Nelson · Manchester (North) · in 1 recurrence link

    No published response from this organisation found.

  • Colin Moulton10 Jul 2015

    Coroner Simon Nelson · Manchester (North) · in 1 recurrence link

    Response · 3 stated actions
    2015-0267-Response-by-Department-of-Health.pdf ↗
    “the Trust has now implemented improved handover procedures between paramedics and A&E staff which should ensure that the triage nurse sees any patient notes made by the paramedics and documents this action.”
    “NWAS has advised that its staff always leave a patient report form (PRF) at every hospital following a patient transfer. A copy of this form also remains with the patient following admission”
    “FGH has very specific patient handover procedures which require NWAS to leave a copy of the PRF with the hospital receptionist for placing with hospital documentation which is subsequently passed to the triage nurse once the patient has been booked in”
  • Toni Piel9 Jul 2015

    Coroner Matthew Cox · Manchester (North) · in 2 recurrence links

    Response
  • Arti Lakhani10 Jun 2015

    Coroner Andrew Walker · London (North)

    No published response from this organisation found.

  • David Price1 Jun 2015

    Coroner John Pollard · Manchester (South)

    No published response from this organisation found.

  • Elizabeth Lester29 May 2015

    Coroner John Pollard · Manchester (South)

    No published response from this organisation found.

  • Coroner Carly Henley · Northumberland (North) · in 16 recurrence links

    Response · 1 stated action
    2015-0198-Response-by-Department-of-Health.pdf ↗
    “The Pathways system piloted in the North East has a fault in that it does not advise non clinical call handlers to issue CPR advice unless a patient has stopped breathing. Although this fault was pointed out to Pathways by NEAS NHS Trust manager before the latest update of the system (early 2014), Pathways refused to amend the system. The fault remains in place.”
  • Coroner Derek Winter · Sunderland · in 1 recurrence link

    No published response from this organisation found.

  • Hana Elhamid13 May 2015

    Coroner Andrew Walker · London (North)

    No published response from this organisation found.

  • Paul Murray13 May 2015

    Coroner Andrew Walker · London (North)

    No published response from this organisation found.

  • Margaret Wright11 May 2015

    Coroner Jennifer Leeming · Manchester (West)

    No published response from this organisation found.

  • Baby Olsberg7 May 2015

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

    Response · 1 stated action
    2015-0177-Response-by-Department-of-Health.pdf ↗
    “The UK NSC will be reviewing the evidence for antenatal screening for GBS again in 2015/16 as part of its routine evidence review process.”
    Response · 1 stated action
    2015-0177-Response-by-N.I.C.E.pdf ↗
    “we will keep our recommendations under review, pending new evidence emerging.”
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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