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recurance

Ian Hegarty

28 Oct 2024 · Coroner Ian Potter · Inner North London

This report repeats 1 earlier warning. See the linked reports.

The coroner's concerns

  1. 1. failure to follow falls risk mitigation plan

    “the plan of care put in place specifically to reduce the risk of falls for multiple patients was not followed”

Linked reports

Repeats an earlier warningIris Fordham5 Oct 2023 · 1 year 1 month earlier
Closely relatedConfidence 0.90 · high

Earlier report

“The consequence of (2) was that no falls care plan was completed.”
Original on judiciary.uk ↗

This report

“That the plan of care put in place specifically to reduce the risk of falls for multiple patients was not followed.”
Full chain: Absence of falls care plan

Responses

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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