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recurance

Drew Howe

15 May 2023 · Coroner Chris Morris · Manchester South

The coroner's concerns

  1. 1. lack of critical analysis of events

    “The Trust's own investigation into events leading to Mr [name redacted] death did not consider the full extent of his contacts with mental health services, lacked any meaningful degree of critical analysis of events, and omitted to seek to explore fundamental issues such as access to services from the patient's perspective”

Responses

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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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Drew Howe · Recurance