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recurance

Elaine Griffiths

22 Dec 2025 · Coroner Hassan Shah · Northamptonshire

The coroner's concerns

  1. 1. incomplete fluid and diet charts

    “on occasional days, the fluid and diet charts were only partially completed”
  2. 2. inadequate provision of gluten and dairy free meals

    “she was eating and drinking poorly as she follows a gluten and dairy free diet and reported the ward only give her lentil casseroles”
  3. 3. limited suitable food options for dietary restrictions

    “the choice of options for those with gluten and dairy intolerance and also requiring bite sized food was very limited, which disproportionately affects the elderly”
  4. 4. unrecorded external food intake

    “the fluid and diet charts were not accurate as the family were bringing in food and this was not being recorded”

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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Elaine Griffiths · Recurance