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recurance

Elan Adams

26 Nov 2024 · Coroner Nadia Persaud · East London

The coroner's concerns

  1. 1. poor quality emergency calls

    “The call to the London Ambulance Service was of very poor quality partly due to interference in the phone line connection”
  2. 2. unclear emergency communication

    “The qualified nursing staff were concerningly unclear in the substance of communication with the emergency controller”
  3. 3. faulty resident call bell

    “The resident call bell had been faulty for an extended period of time”

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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Elan Adams · Recurance