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recurance

Angela Byrne

13 Feb 2018 · Coroner Fiona Wilcox · London Inner (West)

The coroner's concerns

  1. 1. staff not applying training

    “The staff at W-CDAS are not applying the training that they receive in practice”
  2. 2. risks not appropriately assessed and planned for

    “vulnerable patients such as Ms [name redacted] do not have their tisks appropriately assessed and planned for”
  3. 3. improved communications

    “communications between the inpatient and community services need to be improved”
  4. 4. inconsistent clinical records

    “consideration be given to one consistent set of clinical records for both in- patients and for use in the community”
  5. 5. treatment via shared care with the GP

    “patients with complex needs such as Ms [name redacted] are treated by the core W- CDAS team rather that via shared care with the GP”

Responses

No published response was found on judiciary.uk.

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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