Community health care related deaths
Dated 31 Jul 2019, from the coroner for Birmingham and Solihull. Sent to 6 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
Report put online after its 56 daysOrganisations 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 18 Oct 2019, after the 56 days for replies had ended (25 Sep 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.
- Report dated31 Jul 2019
- Deadline25 Sep 2019
- Published on judiciary.uk18 Oct 2019
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Birmingham City Council | Report put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 18 Oct 2019, after the 56 days for replies had ended (25 Sep 2019). These dates can’t tell us whether a reply was due before it went online. |
| Birmingham and Solihull Mental Health NHS Foundation TrustNamed in the report as “Birmingham and Solihull Mental Health NHS Trust” | Report put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 18 Oct 2019, after the 56 days for replies had ended (25 Sep 2019). These dates can’t tell us whether a reply was due before it went online. |
| West Midlands Police | Report put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 18 Oct 2019, after the 56 days for replies had ended (25 Sep 2019). These dates can’t tell us whether a reply was due before it went online. |
| NHS Birmingham and Solihull Clinical Commissioning Group | Response publishedPublished on judiciary.uk in October 2019. |
| NHS England | Report put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 18 Oct 2019, after the 56 days for replies had ended (25 Sep 2019). These dates can’t tell us whether a reply was due before it went online. |
| Department of Health and Social Care | Report put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 18 Oct 2019, after the 56 days for replies had ended (25 Sep 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, 2019-0284
- 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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