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recurance

Jane Livington

4 Oct 2019 · Coroner Aled Gruffydd · Swansea Neath & Port Talbot

The coroner's concerns

  1. 1. incomplete information leading to assessment

    “During the course of the inquest it was apparent that the deceased's wishes for hospital treatment and the reasons behind the same were not available to the gateway assessors on the 14th of December 2018”
  2. 2. incomplete information leading to assessment

    “The gateway assessors did not have full access to the notes relating to the review and subsequent concerns that triggered the gateway assessment”

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