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recurance

Amanda Gibbens

23 Feb 2022 · Coroner Gemma Brannigan · Buckinghamshire

The coroner's concerns

  1. 1. patient not continuously observed

    “Using a monitor screen for Level 3 constant "within eyesight" enhanced observations.”
  2. 2. prohibited items not removed

    “Searching bedrooms on Ruby ward for prohibited items”

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