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recurance

Sergio Dunkley

12 May 2022 · Coroner Johanna Thompson · Sefton, St Helens and Knowsley

The coroner's concerns

  1. 1. lack of statutory requirement for ligature alarms in new mental health unit doors

    “there is no statutory requirement nor any current regulations which specifically require the doors within newly build mental health units to be fitted with ligature alarms”
  2. 2. fixtures and fittings not mandated to be antiligature

    “All fixtures and fittings should be antiligature”
  3. 3. no mandatory requirement for checking placement of ligature alarms

    “inspection and approval of newly built mental health units contains no mandatory requirement for the checking as to the placement of ligature alarms”

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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