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David Siirak

7 Mar 2024 · Coroner Richard Furniss · West London
Check this reportOriginal

The coroner's concerns

  1. 1. inadequate training in simulation exercises

    “there was a clear failure to provide the adequate training in simulation exercises to effectively manage situations like the one that occurred on 1st March 2020”

Responses

2024-0174-Response-from-Central-and-North-West-London-NHS-Foundation-Trust.pdf ↗· Central and North West London NHS Foundation Trust

Stated action · November 2022

“In November 2022, the Trust updated its resuscitation training to the Nationally accredited RCUK Level 3 Resuscitation training also known as Immediate Life Support (ILS). It is a course where to be successful the participants need to successfully demonstrate the skills required to resuscitate a patient. Providing assurance to both the individual and the Trust. All participants are involved in multiple resuscitation simulations, all of which have been developed from incidents that have occurred”
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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