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Douglas Grey

3 Oct 2013 · Coroner Chinyere Inyama · London (East)
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The coroner's concerns

  1. 1. lack of written procedure for equipment delivery and review

    “Evidence was given at the inquest that there was no clear written procedure or policy in place to ensure notification to the district nurses of delivery of equipment they had assessed as being needed, correct installation of that equipment and review of the equipment's performance.”

  2. 2. failure to recognise faulty equipment despite written policy

    “Evidence was given at the inquest that despite a clear written policy on recognising and reporting faults in equipment delivered for residents, carers did not appear to recognise the faulty nature of the inflatable mattress and act in accordance with the written policy of the home.”

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.

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Douglas Grey · Recurance