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recurance

Elizabeth Godwin

19 Jun 2015 · Coroner Ian Singleton · Wiltshire and Swindon

The coroner's concerns

  1. 1. lack of coordinated mental health assessment

    “During the course of the Inquest | had cause to hear evidence from a number of witnesses involved in the care of [name redacted] a farmer's wife, who had a long history of anxiety and depression particularly during the winter months which had been dealt with by medication prescribed by her GP”

Responses

2015-0233-Response-by-Avon-and-Wiltshire-NHS-Trust.pdf ↗· Avon and Wiltshire Mental Health Partnership NHS Trust

Stated action

“The Trust has in place further guidance on undertaking clinical risk assessment which also outlines that effective engagement and communication with and between the service user, their carer(s), other professionals and agencies, underpins all risk assessment and management.”

2015-0233-Response-by-Royal-United-Hospitals-Bath-NHS-Trust.pdf ↗· Royal United Hospitals Bath NHS Foundation Trust

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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