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Coroner’s reportPrevention of future deaths · 2014-0233

“| am entirely satisfied with the findings of the Trust Level 2 Investigation Report 02961…”

Dated 9 May 2014, from the coroner for West Yorkshire (Eastern). 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 4 Jul 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 dated9 May 2014
  2. Deadline4 Jul 2014
  3. Published on judiciary.uk9 May 2014
  4. Today23 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
Leeds Teaching Hospitals NHS TrustDeadline passedNo response published on judiciary.uk so far. The 56-day deadline was 4 Jul 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.

— (1) | am entirely satisfied with the findings of the Trust Level 2 Investigation Report 02961 prepared bs Consultant Physician dated March 2014 and the recommendations contained therein (2) Notwithstanding the above | regard this as a potentially avoidable death and | therefore wish to endorse those recommendations but | must incorporate them in this report to ensure that the Trust has due regard to the seriousness of these issues and in order to elicit their response in accordance with this report and Regulation 28, save and accept those issues which were changed by events in respect of the Foundation Year One Doctor ME who is referred to as [fin the report.

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, 2014-0233
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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