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recurance

Donna Neill

28 Sept 2022 · Coroner Nadia Persaud · East London

The coroner's concerns

  1. 1. medication taken by Donna

    “A clear risk was raised at the CPA meeting on the 4th December 2018. This was the risk of [the deceased] taking medications prescribed to her husband. This risk was not documented in the Trust's mental health records, not fully assessed and no risk management plan was put in place to protect [the deceased] from harm.”

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