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recurance

Edna Smither

31 Jul 2014 · Coroner John Pollard · Manchester (South)

The coroner's concerns

  1. 1. lack of first aid certified staff

    “only one (comparatively junior) member of staff present on the day of the incident and death, had a First Aid certificate which was 'in date'”
  2. 2. locked fire escape door

    “door which Mrs [name redacted] was to be carried through by the ambulance staff, and this door was locked”
  3. 3. panic among staff

    “All the staff in attendance, by their own admission, were in a state of panic”
  4. 4. failure to report incidents

    “two failures to report incidents under RIDDOR”

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