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recurance

Jardine Williams (2)

16 Mar 2026 · Coroner Andrew Cousins · Cumbria

The coroner's concerns

  1. 1. information not passed to CHOC

    “the flow of information and communication between NWAS and CHOC was unclear and at times appeared to be confused”
  2. 2. missed calls to patient

    “4 attempts were made by CHOC to call Miss [name redacted], but no successful contact was made”
  3. 3. delayed return of call

    “third and final attempt at contact would be made”

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