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recurance

William Rice

10 Aug 2026 · Coroner Guy Davies · Cornwall & the Isles of Scilly

The coroner's concerns

  1. 1. application of current adaptations policy

    “if a more flexible policy had been applied (in the initial response to the application for a stairlift) taking account of wider circumstances, the outcome could possibly have been different”
  2. 2. lack of multi agency review

    “no formal multi agency review of potential risks to life from strict application of current policy”
  3. 3. insufficient risk assessment by ASC

    “Therapists within ASC do not consider the CHL policy adequately addresses risk and”
  4. 4. misapplication of policy exceptions

    “evidence from CHL is that these decisions (exceptions being made to policy) were erroneous because there are no exceptions under the terms of the policy”

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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William Rice · Recurance