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recurance

Ann Wells

11 Sept 2014 · Coroner Jacqueline Lake · Norfolk

The coroner's concerns

  1. 1. light switch within reach of patient

    “A light switch was positioned on the wall beside Mrs [name redacted]' bed (see attached photograph). Mrs [name redacted] was 77 years of age, frail with scoliosis, osteoarthritis and a tremor and walked with the aid of a 3 wheeled frame. Evidence was given that this could have been reached by Mrs [name redacted] when in a sitting position in bed. Photographs taken of the bedroom do not support this. Further the emergency call switch is situated next to the light switch.”
  2. 2. lack of risk assessment for room placement

    “No risk assessment had been carried out with regard to Mrs [name redacted] being placed in this particular room.”

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