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recurance

Marjorie Nesbitt

25 Jul 2016 · Coroner Christopher Dorries · South Yorkshire (West)

The coroner's concerns

  1. 1. lack of training on heater use

    “it is accepted that they were placed in a difficult position, not turning the heater up would lead to the client being cold during the night, turning it up with no one due in to review the situation led to an uncomfortable and ultimately fatal situation for Mrs [name redacted].”

Responses

2016-0263-Response-by-Sheffield-City-Council.pdf ↗· Sheffield City Council

Stated action · within the week

“It is the intention of Sheffield City Council to share these documents within the week with our colleagues in, e Internal provider services e Commissioning services e Sheffield teaching hospitals NHS foundation trust e Social Workers and Care Managers”
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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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Marjorie Nesbitt · Recurance