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Helen Millard

6 Oct 2016 · Coroner Paul Marks · East Riding and Kingston-upon-Hull
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The coroner's concerns

  1. 1. ligature points in psychiatric facilities

    “Evidence was heard that NHS England is undertaking an ongoing programme of work to eliminate ligature points in in-patient and other psychiatric facilities. It was established that a 'traffic light' system is in operation which prioritises the work once a ligature point has been identified in any particular facility. The Court heard that if a point is scored 'red' this equates with an extreme risk and mandates urgent elimination of the point. If, however, a risk is categorised as 'amber' this nevertheless”

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