Date of report: 24/07/2023 Ref: 2023-0270 Deceased name: Christine Nakafeero Coroner name: Graeme Irvine Coroner Area: East London Category: Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: Barts Health NHS Foundation Trust, NHS England and Department of Health and Social Care REGULATION 28 REPORT TO PREVENT FUTURE DEATHS []

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Date of report: 20/07/2023 Ref: 2023-0269 Deceased name: Stephen Weatherley Coroner name: Jenny Goldring Coroner Area: Inner South London Category: Alcohol, drugs medication related deaths | State Custody related deaths This report is being sent to: HMP Thameside, HM Prison and Probation Service, Ministry of Justice, HM Inspectorate of Prisons, Independent Advisory Panel on Deaths []

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Date of report: 19/07/2023 Ref: 2023-0268 Deceased name: Kenneth Rippon Coroner name: Janine Richards Coroner Area: County Durham and Darlington Category: Mental Health related deaths This report is being sent to: Tees, Esk and Wear Valley NHS Foundation Trust and Care Quality Commission REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING []

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Date of report: 19/07/2023 Ref: 2023-0267 Deceased name: Shane West Coroner name: Aled Gruffydd Coroner Area: Swansea Neath Port Talbot Category: Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: Swansea Bay University Health Board REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: []

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Date of report: 21/07/2023 Ref: 2023-0266 Deceased name: Corinne Haslam Coroner name: Chris Morris Coroner Area: Manchester South Category: Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: Department of Health and Social Care and Pennine Care NHS Foundation Trust REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT []

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Date of report: 21/07/2023 Ref: 2023-0265 Deceased name: Marion Nickson Coroner name: Alison Mutch Coroner Area: Manchester South Category: Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: NHS England and Care Quality Commission REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: []

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Date of report: 21/07/2023 Ref: 2023-0264 Deceased name: Thomas Barton Coroner name: Alison Mutch Coroner Area: Manchester South Category: Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: Department of Health and Social Care and Greater Manchester Integrated Care REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS []

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Date of report: 20/07/2023 Ref: 2023-0263 Deceased name: Albert Dovey Coroner name: Alison Mutch Coroner Area: Manchester South Category: Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: NHS England REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: NHS England 1 CORONER []

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Date of report: 20/07/2023 Ref: 2023-0262 Deceased name: Marianne Erika Coroner name: Alison Mutch Coroner Area: Manchester South Category: Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: NHS England REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: NHS England 1 CORONER []

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Date of report: 20/07/2023 Ref: 2023-0261 Deceased name: Elliott Harratt Coroner name: Alison Mutch Coroner Area: Manchester South Category: Child Death (from 2015) This report is being sent to: Greater Manchester Integrated Care REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: Greater Manchester Integrated Care 1 CORONER I []

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