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recurance

James Vinson

9 Aug 2017 · Coroner Derek Winter · Sunderland

The coroner's concerns

  1. 1. lack of close supervision of patient at risk of falls

    “Although the Splenomegaly (identified in Sunderland Royal Hospital on 16" October 2016) would not have led to any changes in the management of Mr [name redacted], I was concerned to hear in evidence, that Mr [name redacted] was meant to be under close supervision in his hospital room, but this was not the case despite a review of the falls risk assessment”

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.

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