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recurance

Health Education England

10
reports received
4
with a published response found
0
recurrence chains
0
reports in those chains
  • Coroner Caroline Topping · Surrey

    No published response from this organisation found.

  • Coroner Karen Henderson · West Sussex

    Response · 1 stated action
    2023-0014-Response-from-Royal-College-of-Anaesthetists.pdf ↗
    “We will amend our guidance accordingly, promote these changes to the specialty and embed this change into practice through the RCoA's Anaesthesia Clinical Services Accreditation scheme.”
    Response
    Response · 1 stated action
    2023-0014-Response-from-Royal-College-of-Anaesthetists-1.pdf ↗
    “We will amend our guidance accordingly, promote these changes to the specialty and embed this change into practice through the RCoA's Anaesthesia Clinical Services Accreditation scheme.”
  • Coroner Sean Horstead · Essex

    No published response from this organisation found.

  • Coroner Joanne Kearsley · Manchester North · in 1 recurrence link

    Response · 1 stated action
    2021-0433-Response-regarding-Nichola-Lomax.pdf ↗
    “The Department will continue to support and assure this work to progress against key actions, including ensuring better awareness of eating disorder training and continuing professional development.”
  • Coroner Karen Henderson · West Sussex · in 1 recurrence link

    Response · 6 stated actions
    2021-0327-Response-from-South-East-Coast-Ambulance-Service_Published.pdf ↗
    “Our 111-service management team agree that this was a complex case and should have been transferred to a clinician. In order to ensure that call handlers fully understand the need to identify and refer such cases, the following actions have been taken: 1. Work has been undertaken on a focused area of learning known as a”
    “Key skills is the name given to core training delivered to all members of staff quarterly. The content varies according to job role and is based upon required system updates, clinical updates and learning from incidents and events. The next key skills for Health Advisors and Emergency Medical Advisors will include a section on dealing with calls from or about patients who have a learning disability.”
    “The handling of complex calls has been added to those core competencies and as such new Health Advisors and Emergency Medical Advisors will be required to demonstrate this as a competency moving forwards.”
    “Our Head of Governance for 111 plans to publish a shared learning based on [the deceased]'s family's contacts with the 111 service before the end of January 2022.”
    “It is for NHS Digital to address the issue of how NHS Pathways accommodates patients with underlying disabilities.”
    “SECAmb does not specify a field of experience such as A&E or urgent care because the range of medical conditions and situations with which we deal on a daily basis is so wide. Experience in a wide range of disciplines in our clinical workforce in the 111 service is an advantage; a broad spectrum of experience in different clinical settings (e.g. cardiac, stroke, paediatrics, mental health) helps us to accommodate the extremely diverse needs of our patients.”
  • Coroner Philip Barlow · Inner South London

    No published response from this organisation found.

  • Pamela Keech28 Jul 2017

    Coroner Hassan Shah · Northamptonshire

    No published response from this organisation found.

  • Trevor Hunking1 Nov 2016

    Coroner Andrew Cox · Plymouth Torbay and South Devon

    No published response from this organisation found.

  • Evelyn Smith12 Sept 2014

    Coroner R Brittain · Warwickshire

    Response
  • Oliver Hiscutt1 Apr 2014

    Coroner Sara Lewis · Manchester City

    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