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Coroner’s reportPrevention of future deaths · 2014-0341

“Patients having unlimited access to alcohol based hand sanitising gels; (2) Patients…”

Dated 25 Jul 2014, from the coroner for Coventry. Sent to 2 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

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The 56-day response deadline

All responses published

Replies were due by 19 Sep 2014.

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; a reply may have been sent and not yet published.

  1. Report dated25 Jul 2014
  2. Deadline19 Sep 2014
  3. Published on judiciary.uk25 Jul 2014
  4. Today23 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
Department of Health and Social CareNamed in the report as “Department of Health”Response publishedPublished on judiciary.uk in July 2014.
Coventry and Warwickshire Partnership NHS TrustNamed in the report as “Coventry and Warwickshire Partnership Trust”Response publishedPublished on judiciary.uk in July 2014.

Some responses were published as scans, so their text was read automatically. Check the wording against the original before you quote it.

The coroner’s concerns

(1) Patients having unlimited access to alcohol based hand sanitising gels; (2) Patients being permitted to decant alcohol based hand sanitising gels into cups and other such containers; (3) Patients being permitted to keep cups and containers of alcohol based hand sanitising gels in their rooms; (4) Lack of awareness amongst staff of alcohol content of alcohol based hand sanitising gels and the potential for such gels to be ingested.

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, 2014-0341
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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