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recurance

Jane Fenwick

19 Feb 2026 · Coroner Hassan Shah · Northamptonshire

The coroner's concerns

  1. 1. non use of dentures

    “did not wear her dentures”
  2. 2. rushed eating

    “had a tendency to rush her food”
  3. 3. excessive food intake

    “had a tendency to put too much in her mouth”
  4. 4. lack of supervision

    “was generally not supervised whilst eating”
  5. 5. preference for softer food

    “had a preference for softer food”
  6. 6. identified choking risk

    “had a care plan which identified a risk of choking”
  7. 7. lack of referral to SALT

    “had not been referred to Speech and Language Therapy”
  8. 8. 13 week SALT waiting time

    “average wait for SALT support is 13 weeks”

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