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recurance

Pamela Bailey

27 Jan 2014 · Coroner Donald Coutts-Wood · South Yorkshire (West)

The coroner's concerns

  1. 1. lack of finalised door security system

    “no final decision has been made yet, but my understanding is that it is proposed to introduce a system for all secure wards, whereby there is a dual system involving key code and swipe card”
  2. 2. insufficient staffing levels

    “staffing on Hawthorn Ward was only three, whereas it should have been (at least) four”
  3. 3. missing photograph of missing person

    “no photograph available, of Mrs [name redacted], to the Police when she disappeared”

Responses

No published response was found on judiciary.uk.

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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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