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recurance

Yvonne Eaves

1 Apr 2022 · Coroner Nigel Meadows · Manchester City

The coroner's concerns

  1. 1. lack of appropriate safeguarding review

    “There was a lack of appropriate safeguarding review, Senior clinical oversight as well as necessary MDT meetings and actions to be completed.”
  2. 2. lack of awareness of VTE policy

    “It did not appear that all permanent or locum clinical and nursing staff Trust wide were aware of the VTE policy and how it should be implemented including initial assessments and reassessments of the risks as well as consequent medical management.”
  3. 3. no regular audit of VTE policy compliance

    “There was no regular audit of compliance with the VTE policy.”
  4. 4. absence of training programme

    “There was no training programme to ensure familiarity and compliance.”

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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Yvonne Eaves · Recurance