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recurance

Nuala Seddon

6 Feb 2017 · Coroner R Brittain · London Inner (North)

A similar concern from this report was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. discharge based on non-clinical need

    “It seems clear that a decision was made to transfer Mrs [name redacted] from ITU on 27 November 2014. There remains the potential that this decision was made by non-clinical staff.”

Linked reports

Raised again laterElvon Morton13 May 2024 · 7 years 3 months later
Closely relatedConfidence 0.90 · high

This report

“It seems clear that a decision was made to transfer Mrs [name redacted] from ITU on 27 November 2014. There remains the potential that this decision was made by non-clinical staff.”

Later report

“The decision to sedate Mr [name redacted] was flawed. The lack of contemporary documentation impeded an effective coronial investigation and review of that clinical decision.”
Original on judiciary.uk ↗
Full chain: Inadequate documentation of clinical decisions

Responses

Seddon-2017-0034a.pdf ↗· Barts Health NHS Trust

Stated action · 3 April 2017

“I am R Brittain, Assistant Coroner for Inner London North.”
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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