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recurance

NHS England

548
reports received
153
with a published response found
69
recurrence chains
199
reports in those chains
  • David Knight14 Nov 2016

    Coroner Emma Carlyon · Cornwall and the Isles of Scilly · in 6 recurrence links

    Response
  • Jane Reason25 Oct 2016

    Coroner Louise Hunt · Birmingham and Solihull · in 1 recurrence link

    Response · 1 stated action
    2016-0376-Response-by-British-Heart-Foundation.pdf ↗
    “The BHF has been a key partner in running national awareness campaigns about the importance of bystander CPR skills on "European Restart a Heart Day" for 3 years and have recently worked with a number of partners including the UK Resuscitation Council, British Red Cross, St John Ambulance and the 14 UK ambulance services to provide resources and support training of 150,000 young people in one day at a number of events across the UK on 18th October 2016”
    Response
  • Margaret Dempsie24 Oct 2016

    Coroner Dianne Hocking · Leicester City and Leicestershire South · in 1 recurrence link

    No published response from this organisation found.

  • Benjamin Orrill19 Oct 2016

    Coroner Christina Swann · Leicester City and Leicestershire South

    No published response from this organisation found.

  • Robert Davidson13 Oct 2016

    Coroner Louise Hunt · Birmingham and Solihull

    Response
    Response · 1 stated action
    2016-0363-Response-by-Priory-Group.pdf ↗
    “«This incident and the lessons learnt from it i.e. to ensure effective communication at the point of a resident's transfer or discharge to another provider will be raised in a forthcoming issue of our quarterly Safety 1* bulletin which is shared across all of our Amore Care Homes.”
    Response
  • Helen Millard6 Oct 2016

    Coroner Paul Marks · East Riding and Kingston-upon-Hull

    No published response from this organisation found.

  • Richard Breatnach15 Sept 2016

    Coroner Veronia Hamilton-Deeley · Brighton and Hove · in 1 recurrence link

    Response · 1 stated action
    2016-0330-Response-by-NHS-England.pdf ↗
    “NHS England will use this learning to inform its Digital Strategy. We will also include advice to General Practitioners about Special Patient Notes, which are used within the integrated urgent care software so alerts can be set up for NHS 111 call handlers and out of hours general practitioners when they access a particular patient record as part of the Pharmacy Urgent Medicines Supply service being introduced from 1st December 2016.”
  • Edward Mallen7 Sept 2016

    Coroner Belinda Cheney · Cambridgeshire and Peterborough

    No published response from this organisation found.

  • David Wade6 Sept 2016

    Coroner Michael Singleton · Blackburn, Hyndburn and Ribble Valley

    No published response from this organisation found.

  • James Hedge27 Jul 2016

    Coroner Andrew Barkley · South Wales Central

    No published response from this organisation found.

  • Sydney Neil15 Jul 2016

    Coroner Louise Hunt · Birmingham and Solihull

    No published response from this organisation found.

  • Fred Whittaker14 Jul 2016

    Coroner Andrew Bridgman · Manchester (South)

    Response · 1 stated action
    2016-0249-Response-by-NHS-England.pdf ↗
    “NHS England will share this learning and best practice further with GPs.”
  • Terence Stilges30 Jun 2016

    Coroner Louise Hunt · Birmingham and Solihull

    No published response from this organisation found.

  • Kirsty Childs24 Jun 2016

    Coroner Mary Burke · West Yorkshire (West)

    No published response from this organisation found.

  • Kevin Dermott13 Jun 2016

    Coroner Nicholas Rheinberg · Cheshire · in 1 recurrence link

    No published response from this organisation found.

  • Charlie Jermyn27 May 2016

    Coroner Elizabeth Carlyon · Cornwall

    No published response from this organisation found.

  • Esmee Polmear27 May 2016

    Coroner Elizabeth Carlyon · Cornwall

    No published response from this organisation found.

  • Coroner Mark Beresford · South Yorkshire (East)

    No published response from this organisation found.

  • Peter Scott26 May 2016

    Coroner Heidi Connor · Nottinghamshire · in 18 recurrence links

    Response · 1 stated action
    2016-0199-Response-by-NHS-Improvment.pdf ↗
    “In 2015/16, the trust carried out a significant recruitment campaign and educated 350 whole time equivalent frontline posts.”
    Response · 1 stated action
    2016-0199-Response-by-NHS-England.pdf ↗
    “The need for an urgent review of resources to reduce the risk of future deaths”
  • Patricia Steer25 May 2016

    Coroner Jacqueline Devonish · London Inner (North)

    No published response from this organisation found.

  • Coroner John Pollard · Manchester South · in 6 recurrence links

    Response · 1 stated action
    2016-0194-Response-by-NHS-England.pdf ↗
    “NHS England is currently leading a complete review of ambulance coding systems and trialling a new system. This review will take into account both the High quality care for all, now and for future generations outcome of previous similar 999 calls as well as the concerns raised by Coroners in Regulation 28 Reports. We anticipate making recommendations in autumn 2016. It is our intention that this review should improve the service provided and clinical outcomes for future patients contacting the 9”
  • Mia Gibson11 May 2016

    Coroner Heidi Connor · Nottinghamshire · in 1 recurrence link

    No published response from this organisation found.

  • Coroner Stephanie Haskey · Nottinghamshire · in 4 recurrence links

    No published response from this organisation found.

  • Amy Cooper25 Feb 2016

    Coroner Andre Rebello · Liverpool and Wirral

    No published response from this organisation found.

  • Philip Denning16 Feb 2016

    Coroner Heidi Connor · Nottinghamshire · in 1 recurrence link

    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