“S are as follows: 1”
Dated 11 Mar 2021, from the coroner for West Yorkshire (Western). 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.
The 56-day response deadline
All responses publishedReplies were due by 6 May 2021.
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.
- Report dated11 Mar 2021
- Deadline6 May 2021
- Published on judiciary.uk12 Mar 2021
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| South West Yorkshire Partnership Teaching NHS Foundation TrustNamed in the report as “South West Yorkshire Partnership” | Response publishedPublished on judiciary.uk in March 2021. |
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.
S are as follows: 1. That the decision of leave was dominated by the non-clinical team through the Bed Manager and clinical staff felt they could not object. The draft amended clarification still enable those not directly responsible for patient care to effect clinical management of the patient. 2. That there was no psychologist input on the ward, which had persisted for over three years prior to this incident. The only steps taken to alleviate this vacancy was to re-advertise the same post with the same level of remuneration. 6 ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and | believe you (and/or your organisation) have the power to take such action. 7 YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report, namely by 3 May 2021. I, the Coroner, may extend the period.
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, 2021-0071
- Added to Minute Book
- 8 Oct 2026
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- 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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