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Rebecca Henry

1 Aug 2019 · Coroner John Pollard · Manchester (West)
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The coroner's concerns

  1. 1. lack of communication between medical staff and relatives

    “During almost 40 years sitting as a Coroner, Senior Coroner and now Assistant Coroner, I have heard numerous inquests where had there been communication between the doctors, nurses and therapists caring for patients with mental health issues, and the close relatives of those patients, many issues might have been explained and lives saved.”

Responses

2019-0288-Response-by-Department-of-Health-and-Social-Care.pdf ↗

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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