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recurance

Joan Robinson

25 Nov 2022 · Coroner Chris Morris · Manchester South

The coroner's concerns

  1. 1. inadequate training completion

    “despite training on the Malnutrition Universal Screening Tool being regarded by the Trust as 'essential', the completion rate of training within the organisation is currently just 58.74%”
  2. 2. lack of mandatory training for nurses and healthcare assistants

    “the Trust describes this training as 'essential' it is not deemed mandatory for completion by certain staff groups such as nurses and healthcare assistants”
  3. 3. inconsistent support of Nutrition and Hydration Committee

    “the Trust's own internal investigation into the care and treatment provided to Mrs [name redacted] has found that the 'Nutrition and Hydration Committee [is] not consistently supported, held or attended'”

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