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recurance

Keith Dransfield

8 Aug 2018 · Coroner David Urpeth · South Yorkshire (West)

The coroner's concerns

  1. 1. inappropriate observation regime without written justification

    “During the inquest, evidence showed:- Mr [name redacted] was on an inappropriate observation regime with no written record of why he was moved from 10 minute observations to routine observations.”

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.

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