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Coroner’s reportPrevention of future deaths · 2019-0190

Child Death

Dated 12 Apr 2019, from the coroner for Gateshead and South Tyneside. 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 23 Aug 2019, after the 56 days for replies had ended (7 Jun 2019). 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 dated12 Apr 2019
  2. Deadline7 Jun 2019
  3. Published on judiciary.uk23 Aug 2019
  4. Today23 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
Gateshead Health NHS Foundation TrustNamed in the report as “Gateshead Health NHS Trust”Report put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 23 Aug 2019, after the 56 days for replies had ended (7 Jun 2019). These dates can’t tell us whether a reply was due before it went online.

The coroner’s concerns

Read the coroner’s concerns in the full report on judiciary.uk.

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, 2019-0190
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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