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Coroner’s reportPrevention of future deaths · 2025-0553

Emergency services related deaths

Dated 31 Oct 2025, from the coroner for Nottingham City and Nottinghamshire. Sent to 3 organisations or people.

A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.

Read the full report on judiciary.uk

How this works

The 56-day response deadline

Deadline passed

Replies were due by 26 Dec 2025. A reply may have been sent and not yet published.

Organisations that receive a report must reply to the coroner within 56 days, saying what they will do or why they will do nothing. We show whether a response is published on judiciary.uk.

  1. Report dated31 Oct 2025
  2. Deadline26 Dec 2025
  3. Published on judiciary.uk5 Nov 2025
  4. Today23 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
Nottingham Healthcare NHS Foundation TrustResponse published, not yet matchedA response is published with this report. We haven’t yet matched it to the organisation it’s from, so it may be this one’s.
East Midlands Ambulance Service NHS TrustNamed in the report as “East Midlands Ambulance Service”Response publishedPublished on judiciary.uk in November 2025.
Royal College of General PractitionersResponse publishedPublished on judiciary.uk in November 2025.

The coroner’s concerns

Read the coroner’s concerns in the full report on judiciary.uk.

Read the full report, including the circumstances of the death, on the Courts and Tribunals Judiciary website.

Source
judiciary.uk, Prevention of Future Deaths reports, 2025-0553
Added to Minute Book
8 Oct 2026
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Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0

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