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recurance

Jane Jowers

23 Sept 2020 · Coroner Nadia Persaud · East London

The coroner's concerns

  1. 1. unsuitable persons with prior convictions working with vulnerable adults and children

    “The evidence at the Inquest revealed that there is no statutory procedure for checks to be undertaken for criminal convictions outside of the UK. The absence of statutory international checks may result in unsuitable persons with prior convictions working with vulnerable adults and children.”
  2. 2. senior carer with prior assault convictions employed in care homes

    “the senior carer who omitted to administer her medication on the 21'1 October 2018 had previously resided in the Republic of Ireland. He had prior criminal convictions including two convictions for assault. From 2013 he had worked in a number of care homes in t”
  3. 3. failure to administer anti-epileptic medication to a vulnerable adult with advanced dementia

    “Mrs [name redacted] was a 68 year old lady who was suffering from advanced Alzheimer's dementia. She had early onset dementia from around the age of 58 and by 2018 was bed bound. She was fully reliant on carers for the administration of her medication. On the 21'1 October 2018 a senior carer employed within her care home failed to administer her anti-epileptic medication. Mrs [name redacted] suffered a seizure the following day which resulted in her admission to hospital. Her health declined considerably following”
  4. 4. senior carer with prior assault convictions employed in care homes

    “During the course of the investigation, it was discovered that the senior carer who omitted to administer her medication on the 21'1 October 2018 had previously resided in the Republic of Ireland. He had prior criminal convictions including two convictions for assault. From 2013 he had worked in a number of care homes in t”

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