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Coroner’s reportPrevention of future deaths · 2013-0375

“Failure by the Trust to provide care plans”

Dated 14 Nov 2013, from the coroner for Somerset (West). 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.

Read the full report on judiciary.uk

How this works

The 56-day response deadline

Deadline passed

Replies were due by 9 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.

  1. Report dated14 Nov 2013
  2. Deadline9 Jan 2014
  3. Published on judiciary.uk14 Nov 2013
  4. Today23 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
Somerset NHS Foundation TrustNamed in the report as “Mr Edward Colgan, Chief Executive, Somerset Partnership NHS Foundation Trust”Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 9 Jan 2014. A reply may have been sent and not yet published.

The coroner’s concerns

Failure by the Trust to provide care plans.

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, 2013-0375
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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