Date of report: 21/06/2023 Ref: 2023-0299 Deceased name: Matthew Harris Coroner name: David Reid Coroner Area: Worcestershire Category: Suicide (from 2015) | State Custody related deaths This report is being sent to: Dyfed-Powys Police REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: [REDACTED], Chief Constable, Dyfed-Powys Police. 1 CORONER []

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Date of report: 17/08/2023 Ref: 2023-0298 Deceased name: Malcolm Unwin Coroner name: John Gittins Coroner Area: North Wales East and Central Category: Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: Betsi Cadwaladr University Health Board REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT []

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Date of report: 17/08/2023 Ref: 2023-0297 Deceased name: Shirley Ashelford Coroner name: Christopher Williams Coroner Area: Inner South London Category: Other related deaths This report is being sent to: Medicine Healthcare products Regulatory Agency | London Borough of Southwark | Prism Medical UK Ltd | Bureau Veritas UK Ltd REGULATION 28 REPORT TO PREVENT FUTURE []

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Date of report: 16/08/2023 Ref: 2023-0296 Deceased name: Odichukwumma Igweani Coroner name: Sean Cummings Coroner Area: Milton Keynes Category: Mental Health related deaths This report is being sent to: North West London NHS Foundation Trust | BLMK Integrated Care Board | Red House Surgery REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING []

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Date of report: 16/08/2023 Ref: 2023-0295 Deceased name: Absolom Duffy Coroner name: Marianne Johnson Coroner Area: Lincolnshire Category: Road (Highways Safety) related deaths This report is being sent to: Highways Agency REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING SENT TO: Highways AGENCY 1 CORONER I am Marianne JOHNSON, HM Assistant []

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Date of report: 14/08/2023 Ref: 2023-0294 Deceased name: Leonard King Coroner name: Sean Cummings Coroner Area: Milton Keynes Category: Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: Association of Ambulance Chief Executives | Royal College of Emergency Medicine | Royal College of General Practitioners | Urgent Health UK []

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Date of report: 14/08/2023 Ref: 2023-0293 Deceased name: Linda Oldland Coroner name: Anna Crawford Coroner Area: Surrey Category: Care Home Health related deaths This report is being sent to: Leonard Cheshire REGULATION 28 REPORT TO PREVENT FUTURE DEATHS 1 THIS REPORT IS BEING SENT TO: Chief Executive Leonard Cheshire 66 South Lambeth Road []

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Date of report: 24/08/2023 Ref: 2023-0292 Deceased name: Gordon Rodger Coroner name: Robert Cohen Coroner Area: Cumbria Category: Suicide (from 2015) | Railway related deaths This report is being sent to: National Rail Infrastructure Limited REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: Network Rail Infrastructure Limited 1 CORONERI am []

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Date of report: 15/08/2023 Ref: 2023-0291 Deceased name: Ian Darwin Coroner name: Jeremy Chipperfield Coroner Area: County Durham and Darlington Category: Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: Tees Esk and Wear Valleys NHS Foundation Trust REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING []

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Date of report: 14/08/2023 Ref: 2023-0290 Deceased name: Marie Zarins Coroner name: Isobel Thistlethwaite Coroner Area: Leicester City and South Leicestershire Category: Suicide (from 2015) This report is being sent to: Leicestershire Partnership NHS Trust REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING SENT TO: Chief Executive, Leicestershire Partnership NHS Trust (via []

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