“The bed was able to move from the wall because the two inner wheels were not locked”
Dated 15 Feb 2016, from the coroner for Warwickshire. Sent to 3 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 11 Apr 2016. 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 dated15 Feb 2016
- Deadline11 Apr 2016
- Published on judiciary.uk15 Feb 2016
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| George Eliot Hospital NHS Trust | Response 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. |
| NHS England | Response 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. |
| Welsh Government | Response 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. |
The coroner’s concerns
(1) The bed was able to move from the wall because the two inner wheels were not locked. (2) The locking mechanism for the inner wheels was not easily accessible when the bed was placed against a wall. (3) There is risk of recurrence in respect of service users who are provided with this type of bed when the bed is placed against a wall.
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, 2016-0051
- Added to Minute Book
- 8 Oct 2026
- Reuse
- We show short extracts and link to the original. We don’t host the full report.
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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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