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Coroner’s reportPrevention of future deaths · 2017-0156

“The lack of continuity and the appropriateness of the medical staff despatched by the…”

Dated 16 May 2017, from the coroner for South Lincolnshire. 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

Report put online after its 56 days

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.

judiciary.uk put this report online on 16 Aug 2017, after the 56 days for replies had ended (11 Jul 2017). These dates can’t tell us whether a reply was due before it went online. A reply may have been sent and not yet published.

  1. Report dated16 May 2017
  2. Deadline11 Jul 2017
  3. Published on judiciary.uk16 Aug 2017
  4. Today23 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
Lincolnshire Community Health Services NHS TrustNamed in the report as “Lincolnshire Community Health Service 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.

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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) The lack of continuity and the appropriateness of the medical staff despatched by the GP’s orcas Hawthorn Medical Practice, Skegness. The Safeguarding report a ohnstone Head of Safeguarding dated November 2015 identified this. (2) Lincolnshire Police also investigated for an act of criminality. (3) | really need to know if all the Action Plan, Monitoring and recommendations’ (on page 11 & 12) of the safeguarding report have now been implemented and if not why not. Unit 1, Gilbert Drive, Endeavour Park, Wyberton Fen, Boston, Lincolnshrire, PE21 7TQ Tel 01522 553873/553374 | Fax 01522516717 ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and | believe you Lincolnshire Register Office have the power to take such action.

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, 2017-0156
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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