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recurance

Lack of interpreter framework in healthcare settings

Closely relatedConfidence 0.90 · high2 reports · 2014–2014 One-page brief (print or PDF)

Department of Health and Social Care received 2 coroners' reports about this hazard between 25 Feb 2014 and 8 Oct 2014.

They came from 1 coroner. A similar concern was raised again 1 time after the first warning.

A published response was found for 1 of the 1 earlier reports, stating 1 specific action.

2
reports
1
coroner
2014–2014
years
0.90
lowest link confidence

The story, report by report

Spacing grows with the time between reports.

  1. First warning

    Andre Matei↗

    25 Feb 2014 · Andrew Walker · London (North)

    “(1) There was no national guidance on the role of interpreters during labour in particular when the interpreter is required in theatre.”
    Original on judiciary.uk ↗

    Department of Health and Social Care responded, stating 1 specific action.Response (PDF) ↗

    “Commissioners and providers of maternity services should therefore ensure that professional and independent interpretation services are available in both primary- care and secondary-care settings, to ensure that all women can be confident that they can speak freely and in confidence to their maternity-care providers”
  2. 7 months later

    Raised again · 1st time

    Chloe Siokos↗

    8 Oct 2014 · Andrew Walker · London (North)

    Closely relatedConfidence 0.90 · high
    “That there was no framework for primary care staff to make a decision when an interpreter is required.”
    Original on judiciary.uk ↗

    Repeated from the earlier report:interpreterrequired

    The most recent report. A response may not be due or published yet.

  3. All reports to Department of Health and Social Care

Next

This shows that a similar concern was raised again after an earlier report. It does not say why, and it is not a finding about any organisation or person. To report an error, see the corrections route.

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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