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recurance

Barts Health NHS Trust

37
reports received
11
with a published response found
7
recurrence chains
17
reports in those chains
  • Chand Ali7 Mar 2019

    Coroner Alison Hewitt

    No published response from this organisation found.

  • Coroner Philip Barlow · London Inner (South)

    No published response from this organisation found.

  • Marian Hoskins9 Jan 2019

    Coroner Alison Hewitt · City of London

    No published response from this organisation found.

  • Angela West27 Jun 2018

    Coroner Sarah Bourke · London Inner (North)

    No published response from this organisation found.

  • William Bartram6 Jun 2018

    Coroner Nadia Persaud · London (East)

    No published response from this organisation found.

  • Mike Fell5 Mar 2018

    Coroner Sarah Bourke · London Inner (North)

    Response
  • Harold Chapman28 Nov 2017

    Coroner Julian Morris · London Inner (South)

    Response
    Response · 1 stated action
    2017-0377-Response-by-Department-of-Health.pdf ↗
    “asp In May 2016, NHS England issued guidance for using email and text message for communicating with patients as part of the Accessible Information Standard. Although the guidance is intended to support the use of email and text message as part of communication with people who have a disability, impairment or sensory loss a Department of Health (in”
    Response · 1 stated action
    2017-0377-Response-by-Barts-Health-NHS-Trust.pdf ↗
    “The service has taken action following the conclusion of the investigation to improve practice. This has included development of a procedural document detailing requirements for SCD risk assessment and pathways for escalation to the MDT meeting; adherence to this document is being monitored via the audit process.”
  • Errol Mann20 Apr 2017

    Coroner Nadia Persaud · London (East)

    No published response from this organisation found.

  • Nuala Seddon6 Feb 2017

    Coroner R Brittain · London Inner (North) · in 1 recurrence link

    Response · 1 stated action
    Seddon-2017-0034a.pdf ↗
    “I am R Brittain, Assistant Coroner for Inner London North.”
  • Zawdie Bascom20 Jun 2016

    Coroner Nadia Persaud · London (East)

    No published response from this organisation found.

  • David White11 Nov 2015

    Coroner Jacqueline Devonish · London Inner (North) · in 1 recurrence link

    Response · 6 stated actions
    2015-0437-Response.pdf ↗
    “The safety briefing during nursing handover is now to include a verbal handover of the care plans for patients assessed as at risk of falls to alert incoming staff members as to the risk and care plan.”
    “daily auditing of all nursing and falls risk documentation must be carried out.”
    “Multidisciplinary Team meetings on Ward 9F have now been changed to earlier in the day to discuss patients and make effective action plans for patient at risk of falls.”
    “A practice development team has been recruited to support ward staff in adhering to ward protocols and procedures including documentation, assessment of risks and communication.”
    “facilitated training from the 'Falls Lead' for the Trust to re-train nurses regarding the fall procedure and management and this took place on 29 June 2015.”
    “Site managers can now be contacted out of hours to ensure appropriate management of care.”
  • Vijay Sonagara7 Aug 2014

    Coroner Philip Barlow · London (South Inner)

    No published response from this organisation found.

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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