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recurance

Russell Robb

22 Dec 2017 · Coroner Alison Mutch · Manchester (South)

The coroner's concerns

  1. 1. uncontrolled medication quantity

    “no guidelines in place to reduce the quantity of drugs available to Mr [name redacted] at any one time”
  2. 2. information sharing failure

    “limited evidence of information sharing between the members of the Trafford Adult Safeguarding Board”
  3. 3. insufficient strategic meetings

    “only 1 strategic meeting took place over a 6 year period”

Responses

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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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