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Thomas Godderidge

8 Feb 2024 · Coroner Robert Cohen · Cumbria
Check this reportOriginal

The coroner's concerns

  1. 1. lack of reliable routine liaison between Adult Social Care and care providers

    “when concerns are raised about a service-user's capacity there is not reliable and routine liaison between Adult Social Care and the care providers”

  2. 2. failure to account for variable and fluctuating capacity

    “consideration of capacity by Adult Social Care does not always reflect the possibility that a person's capacity may be variable and fluctuating”

Responses

2024-0073-Response-from-Cumberland-Council.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