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Coroner’s reportPrevention of future deaths · 2021-0215

“1, The absence of any prompt in the admissions assessment tool reminds assessors to ask…”

Dated 18 Jun 2021, from the coroner for Manchester North. 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

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Replies were due by 13 Aug 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.

  1. Report dated18 Jun 2021
  2. Deadline13 Aug 2021
  3. Published on judiciary.uk28 Jun 2021
  4. Today22 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
Northern Care Alliance NHS Foundation TrustNamed in the report as “The Northern Care Alliance NHS Trust”Response publishedPublished on judiciary.uk in June 2021.

The coroner’s concerns

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- 1, The absence of any prompt in the admissions assessment tool reminds assessors to ask patients about previous choking episodes creates a risk that relevant information is | ed from the ‘assessment and places the onus on the patient to volunteer information which they may not appreciate is relevant to the assessment

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, 2021-0215
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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