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Coroner’s reportPrevention of future deaths · 2014-0292

“During the course of the Inquest, it transpired that cans of the aforementioned gases…”

Dated 1 Jul 2014, from the coroner for Manchester North. 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.

Read the full report on judiciary.uk

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The 56-day response deadline

Deadline passed

Replies were due by 26 Aug 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 dated1 Jul 2014
  2. Deadline26 Aug 2014
  3. Published on judiciary.uk1 Jul 2014
  4. Today23 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
Oldham Metropolitan Borough CouncilResponse publishedPublished on judiciary.uk in July 2014.
Trading Standards InstituteResponse publishedPublished on judiciary.uk in July 2014.
Department for Business Innovation and SkillsResponse published, not yet matchedA response is published with this report. We haven’t yet matched it to the organisation it’s from, so it may be this one’s.
Public Health EnglandResponse 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

This report was published as a scan, so its text was read automatically. Check the wording against the original before you quote it.

- 1. During the course of the Inquest, it transpired that cans of the aforementioned gases were being sold fo the deceased by local retailers who were fully aware of her addition/problems. Whilst morally reprehensible, there was no law to prevent them from selling large amounts of the toxic/potentially fatal gases to the deceased. Lack of regulation. . No powers afforded to Trading Standards to take action/prosecute. 4. Risk to public heaith.

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, 2014-0292
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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