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recurance

Georgina Lewis

22 Dec 2016 · Coroner David Bowen · Gwent

The coroner's concerns

  1. 1. discharge without family notification

    “The decision to discharge was made without notification to or consultation with any family member”
  2. 2. lack of discharge plan

    “Following the decision no discharge plan or follow up support was put in place”
  3. 3. no GP notification of discharge

    “There was no contemporaneous notification to her GP of the discharge or the assessment leading to discharge, in fact the GP had still not received notification by the time of discovery of Mrs [name redacted] body”

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