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recurance

David O'Garro

16 Jun 2014 · Coroner ME Hassell · London Inner (North)

A similar concern from this report was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. lack of cell sharing risk assessment for epilepsy

    “The nurse who carried out the first reception screen of Mr [name redacted] did not complete a cell sharing risk assessment (CSRA) indicating that he should share a cell, though she told me she knew that a person with epilepsy should not occupy a cell”

Linked reports

Raised again laterVilhelmas Borkertas31 Oct 2017 · 3 years 5 months later
Closely relatedConfidence 0.80 · moderate

This report

“The nurse who carried out the first reception screen of Mr [name redacted] did not complete a cell sharing risk assessment (CSRA)”

Later report

“Mr [name redacted] described himself variously as heterosexual and bisexual. The latter was recorded on his cell sharing risk assessment form.”
Original on judiciary.uk ↗
Full chain: Inadequate cell sharing risk assessment for epilepsy and sexual orientation

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

David O'Garro · Recurance