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Andrew Horgan

8 Apr 2014 · Coroner David Ridley · Wiltshire & Swindon
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The coroner's concerns

  1. 1. lack of understanding of referral procedure to involve mental health professionals

    “During the course of the Inquest - pan evidence and it was quite clear that he did not have a clear understanding of the referral procedure to involve professionals from the Avon and Wiltshire Mental Health”

Responses

2014-0163-Response-by-Great-Western-Hospital-NHS-Foundation-Trust.pdf ↗

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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