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recurance

John Lambton

14 Feb 2018 · Coroner Derek Winter · Sunderland

The coroner's concerns

  1. 1. assumptions about health by untrained staff

    “Care home staff with no formal medical training made assumptions about Tom's health following a series of falls/incidents”
  2. 2. disregard of ambulance request

    “Care home staff disregarded [name redacted]'s request for an ambulance following the fall”
  3. 3. insufficient GP communication

    “There was insufficient communication with the GP about recent events concerning [name redacted]”

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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John Lambton · Recurance