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Ian Page

12 Sept 2014 · Coroner Jonathan Layton · Carmarthenshire & Pembrokeshire

The coroner's concerns

  1. 1. communication following patient handover

    “There was a training need identified regarding communication following patient handover”
  2. 2. risk of falls

    “No risk assessment was carried out on Mr [name redacted] identifying the risk of falls”
  3. 3. no low bed

    “There was no low bed available to Mr [name redacted]”
  4. 4. insufficient nursing staff

    “A review of the provision of nursing staff was identified when patient circumstances require greater staffing levels”

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.

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Ian Page · Recurance