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recurance

Christopher James Morgan

22 Nov 2013 · Coroner William Morris · Cambridgeshire

The coroner's concerns

  1. 1. lack of communication with family and carers about risk changes

    “before any change in identified level of risk is decided upon, particularly in relation to access to leave, there is communication with all relevant parties concerned including family and carers to elicit their views”
  2. 2. absence of clear staff-to-patient ratio policy for escorted leave

    “The Trust should ensure that a clear practice and policy is adopted in relation to the ratio of staff to patient as to staff that should accompany patients on escorted leave from psychiatric wards”

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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Christopher James Morgan · Recurance