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Donna Kirkland

25 Jul 2014 · Coroner Jason Pegg · Coventry
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The coroner's concerns

  1. 1. unlimited access to alcohol based hand sanitising gels

    “Patients having unlimited access to alcohol based hand sanitising gels”

  2. 2. decaning alcohol based hand sanitising gels into cups and other containers

    “Patients being permitted to decant alcohol based hand sanitising gels into cups and other such containers”

  3. 3. keeping cups and containers of alcohol based hand sanitising gels in patient rooms

    “Patients being permitted to keep cups and containers of alcohol based hand sanitising gels in their rooms”

  4. 4. lack of staff awareness of alcohol content and ingestion risk of alcohol based hand sanitising gels

    “Lack of awareness amongst staff of alcohol content of alcohol based hand sanitising gels and the potential for such gels to be ingested”

Responses

2014-0341-Response-by-Department-of-Health.pdf ↗

2014-0341-Response-from-Coventry-and-Warwickshire-Partnership-NHS-Trust_Redacted.pdf ↗

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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.

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Donna Kirkland · Recurance