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Coroner’s reportPrevention of future deaths · 2016-0174

“The level of competence and training of staff working in the Acute Assessment Unit with…”

Dated 6 May 2016, from the coroner for North London. 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

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The 56-day response deadline

Deadline passed

Replies were due by 1 Jul 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.

  1. Report dated6 May 2016
  2. Deadline1 Jul 2016
  3. Published on judiciary.uk6 May 2016
  4. Today23 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
North Middlesex University Hospital NHS TrustNamed in the report as “North Middlesex Hospital”Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 1 Jul 2016. 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.

— The level of competence and training of staff working in the Acute Assessment Unit with regard to the use of NEW Score system and communication between all levels of staff. That when the monitoring equipment alarmed this did not result in senior staff attending. No consideration was given, when the alarms were continuously sounding, for alternate forms of monitoring.

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, 2016-0174
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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