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Peter Mackie

5 Dec 2014 · Coroner Richard Hulett · Buckinghamshire
Check this reportOriginal

The coroner's concerns

  1. 1. insufficient first aiders on site including night

    “Despite improvements during 2014 concerns remain as to the overall numbers of first aiders available on the Springhill site at any time including at night”

  2. 2. limited healthcare staff coverage

    “There are usually two contracted healthcare staff available during daytimes but they work together and are therefore either on one site or the other”

  3. 3. unclear CPR initiation guidance

    “It appears that there is not currently any guidance to staff as to when CPR should be commenced”

Responses

2014-0528-Response-by-NOMS.pdf ↗

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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.

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