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recurance

Ratidzai Sangare

18 May 2016 · Coroner Selena Lynch · London South

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

The coroner's concerns

  1. 1. lack of recognition of condition requiring immediate resuscitation

    “Healthcare staff were unaware or did not recognise that Mrs [name redacted] condition required immediate cardiopulmonary resuscitation, the activation of the alarm, and the summoning of an ambulance”

Linked reports

Raised again laterGeorge Haldenby21 May 2026 · 10 years later
Closely relatedConfidence 0.90 · high

This report

“Healthcare staff were unaware or did not recognise that Mrs [name redacted] condition required immediate cardiopulmonary resuscitation, the activation of the alarm, and the summoning of an ambulance”

Later report

“After prison officers and prison staff carry out their induction training which covers basic first aid training including the delivery of cardio pulmonary resuscitation (CPR), there is no further mandatory refresher training on first aid or CPR.”
Original on judiciary.uk ↗
Full chain: Delayed resuscitation due to insufficient staff awareness or training

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.

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