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recurance

Patrick Coffey

7 Jul 2025 · Coroner Robert Simpson · Berkshire

The coroner's concerns

  1. 1. lack of repositioning

    “I heard evidence that it was important that Mr [name redacted] spent most of his time in a seated position rather than lying down. This was to assist with his ability to breathe more deeply and cough more effectively; both of which are of importance when treating chest infections especially in the context of a patient with rib fractures.”

Responses

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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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