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Stephanie Marks

20 Jun 2016 · Coroner S Fox QC · Avon
Check this reportOriginal

The coroner's concerns

  1. 1. GP messages not countersigned as received/acted on

    “There was no evidence that staff check at 6.30pm each day that all GP messages have been countersigned as received/acted on by the GP's, for that day”

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