Skip to content
recurance

Neville McKenzie

24 Jan 2025 · Coroner Emma Brown · Birmingham and Solihull Districts

A similar concern from this report was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. lack of anti choking devices in care homes

    “there is not wide knowledge of the availability of these devices in care settings and if more homes had them it is likely that deaths from choking could be reduced”

Linked reports

Raised again laterStuart Gilchrist10 Sept 2025 · 8 months later
Closely relatedConfidence 0.90 · high

This report

“[REDACTED], who has considerable experience working in health and social care, said she was concerned that there was not wider knowledge of the existence of these devices particularly for homes that have a high volume of residents with choking risks like Acorn Care Home.”

Later report

“During the evidence it was heard that there is a device that may assist in incidents of choking, it was referred to as a LifeVac (this may be a trade name).”
Original on judiciary.uk ↗
Full chain: Lack of anti choking devices in care homes and restaurants

Responses

2025-0044-Response-from-HSE.pdf ↗· Birmingham and Solihull Integrated Care Board

Stated action

“I have set out below more detailed information on how health and safety incidents are regulated in the health and adult social care sectors in England and on regulatory responsibility in respect of medical devices.”
  • Built with
  • NVIDIA Nemotron Nano, Super and Ultra
  • Nebius Token Factory inference
  • Qwen3 Embedding 8B on Token Factory
  • Tavily follow-up web search
  • Postgres and pgvector search
  • Next.js site

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