“(2) 6 There appears to have been no formal hand over between to in early April 2012”
Dated 17 Jan 2014, from the coroner for Cornwall. Sent to 4 organisations or people.
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 14 Mar 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 dated17 Jan 2014
- Deadline14 Mar 2014
- Published on judiciary.uk17 Jan 2014
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| [REDACTED] | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 14 Mar 2014. A reply may have been sent and not yet published. |
| [REDACTED] | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 14 Mar 2014. A reply may have been sent and not yet published. |
| Royal Cornwall Hospitals NHS TrustNamed in the report as “Royal Cornwall Hospital Trust” | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 14 Mar 2014. A reply may have been sent and not yet published. |
| The Medical Centre | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 14 Mar 2014. A reply may have been sent and not yet published. |
The coroner’s concerns
– (1) (2) 6 There appears to have been no formal hand over between to in early April 2012. On 19 April 2012 a care plan was received from the Community Mental Health Team following Mrs Dell’s discharge from their care back to primary care. No action seems to have been taken upon its receipt. It appears as though the doctors have accepted the reassurance of the CPN that Mrs Dell’s moods had stabilised on the medication prescribed to her not withistanding the fact that only three weeks previously on 22 March 2012 had contacted to express his concerns over Mrs Dell’s wellbeing
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, 2014-0021
- 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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