“There was a failure to complete the Falls Risk Assessment accurately; (2) There was a…”
Dated 16 May 2023, from the coroner for Manchester South. 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 11 Jul 2023.
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 dated16 May 2023
- Deadline11 Jul 2023
- Published on judiciary.uk17 May 2023
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Tameside and Glossop Integrated Care NHS Foundation Trust | Response publishedPublished on judiciary.uk in May 2023. |
The coroner’s concerns
– (1) There was a failure to complete the Falls Risk Assessment accurately; (2) There was a failure to reassess the risk of falls when staff were informed by members of the deceased’s family of his significantly compromised mobility and unsteadiness on his feet; (3) The Investigation Report prepared by the Trust failed to identify and therefore did not address issues 1 and 2 above.
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, 2023-0158
- 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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