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Marcin Mazurek

7 Oct 2017 · Coroner Nicholas Rheinberg · Preston and West Lancashire
Check this reportOriginal

The coroner's concerns

  1. 1. poor medical record keeping

    “Medical record keeping was of very poor quality”

  2. 2. incomplete medical checks in segregation

    “The daily medical checks in segregation by members of the nursing team and the tri- weekly checks by the GP team, were frequently not recorded in the medical notes and / or did not take place”

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