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Terence Hawkins

19 Dec 2016 · Coroner Nadia Persaud · London (East)
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The coroner's concerns

  1. 1. lack of regular medical monitoring of care home residents

    “There was no system in place for the regular medical monitoring of residents with the Care Home. Mr [name redacted] had not been seen by a GP for many months. The Care Home Manager confirmed that it could be difficult for medical assessments to be arranged for residents within the home who are unable to attend the surgery.”

  2. 2. infrequent GP reviews of care home residents

    “Both the GP and Care Home Manager indicated that regular GP reviews (perhaps monthly) within the home, by the GP practice would improve the care provided to residents.”

Responses

2016-0454-Response-by-Lime-Tree-Surgery.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