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recurance

Frederick Bevan

9 Mar 2017 · Coroner Emma Brown · Birmingham and Solihull

The coroner's concerns

  1. 1. inadequate incident hand-over to emergency services

    “was Satisfied that Mr. [name redacted] fall was witnessed by a carer However, two paramedics who attended in response to the 999 call following the fall both gained the clear understanding that the fall was not witnessed, they described that there were 4 or 5 members of staff present and the scene appears to have been somewhat chaotic. The likely explanation for the paramedics mj ding is hat a clear hand-over of the history of the incident was not provided by the - i but rather the nurses who has”
  2. 2. miscommunication of incident details to emergency services

    “my concern is that if the history is not provided by the witness (regardless of whether they are a carer or a nurse) there is a risk that the correct history will not be given to emergency services which in some cases could have a detrimental effect on treatment”

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.

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Frederick Bevan · Recurance