“e That before any change in identified level of risk is decided upon, particularly in…”
Dated 22 Nov 2013, from the coroner for Cambridgeshire. Sent to 1 organisation or person.
A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.
The 56-day response deadline
Deadline passedReplies were due by 17 Jan 2014. 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.
- Report dated22 Nov 2013
- Deadline17 Jan 2014
- Published on judiciary.uk18 Dec 2013
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Cambridgeshire and Peterborough NHS Foundation Trust | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 17 Jan 2014. A reply may have been sent and not yet published. |
The coroner’s concerns
This report was published as a scan, so its text was read automatically. Check the wording against the original before you quote it.
— e That before any change in identified level of risk is decided upon, particularly in relation to access to leave, there is communication with all relevant parties concerned including family and carers to elicit their views. e The Trust should ensure that a clear practice and policy is adopted in relation to the ratio of staff to patient as to staff that should accompany patients on escorted leave from psychiatric wards 6 | ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and | believe that your organisation have the power to take such action.
An extract. 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, 2013-0272
- Added to Minute Book
- 8 Oct 2026
- Reuse
- We show short extracts and link to the original. We don’t host the full report.
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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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