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Date of report: 04/10/2023 Ref: 2023-0364 Deceased name: Kellie Poole Coroner name: Peter Nieto Coroner Area: Derby and Derbyshire Category: Other related deaths This report is being sent to: Health and Safety Executive REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING SENT TO:[REDACTED] , Chief Executive Health and Safety Executive Redgrave Court []

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Date of report: 28/09/2023 Ref: 2023-0363 Deceased name: Scott Donoghue Coroner name: Lorraine Harris Coroner Area: East Riding and Hull Category: Suicide (from 2015) This report is being sent to: Department of Health and Social Care REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: Minister for the Department of []

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Date of report: 02/10/2023 Ref: 2023-0362 Deceased name: Jack Zarrop Coroner name: Anton van Dellen Coroner Area: West London Category: Suicide (from 2015) This report is being sent to: Home Office | National Police Chiefs Council | NHS England REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: Home OfficeNational []

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Date of report: 03/10/2023 Ref: 2023-0361 Deceased name: Manoel Santos Coroner name: Jenny Goldring Coroner Area: Inner South London Category: State Custody related deaths | Suicide (from 2015) This report is being sent to: HMP Belmarsh | Practice Plus Group | Home Office | HM Prison and Probation Service | Ministry of Justice REGULATION 28 []

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Date of report: 02/10/2023 Ref: 2023-0360 Deceased name: Paula Lenihan Coroner name: Susanna Rickard Coroner Area: Birmingham and Solihull Category: Alcohol, drugs medication related death This report is being sent to: Birmingham and Solihull Mental Health Foundation REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO:Birmingham & Solihull Mental Health NHS []

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