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recurance

Madison Smith

26 Mar 2026 · Coroner Alison Mutch · Manchester South

The coroner's concerns

  1. 1. unregulated maternity nurse services

    “significant demand from families with very young children who would like to get their children into a sleep routine at an early stage”
  2. 2. misleading use of 'nurse' title

    “use of the word nurse gave the impression of a level of knowledge and skills that were not present”
  3. 3. prone sleeping by unqualified individuals

    “promotion of prone sleeping by unqualified individuals describing themselves as maternity nurses and experts in sleeping poses a very significant risk to a young baby”

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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