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recurance

Gillian Crossley

4 Sept 2014 · Coroner Catherine Mason · Leicester City & South Leicestershire

The coroner's concerns

  1. 1. inadequate documentation

    “Inadequate documentation”
  2. 2. failure to observe and monitor patient needs

    “Failure to observe and monitor in accordance with Mrs [name redacted] needs”
  3. 3. failure to assess discharge fitness and plan discharge

    “Failure to properly assess the fitness for discharge and properly plan that discharge”
  4. 4. inadequate communication between care providers

    “Inadequate communication between those who were responsible for the care and treatment of Mrs [name redacted]”

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