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Date of report: 14/05/2023 Ref: 2023-0461 Deceased name: Thomas Huntley Coroner name: Robert Simpson Coroner Area: Hampshire, Portsmouth and Southampton Category: State Custody related deaths | Suicide (from 2015) This report is being sent to: HM Prison and Probation Service REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING SENT TO: 1 Director []

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Date of report: 19/09/2023 Ref: 2023-0456 Deceased name: Mark Bennett Coroner name: Steve Eccleston Coroner Area: South Yorkshire (Western) Category: Emergency services related deaths (2019 onwards) This report is being sent to: Yorkshire Ambulance Service | Association of Ambulance Chief Executives REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING SENT TO: The []

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Date of report: 17/11/2023 Ref: 2023-0460 Deceased name: Sarah Read Coroner name: Christopher Long Coroner Area: Lancashire and Blackburn with Darwen 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: 1. []

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Date of report: 09/11/2023 Ref: 2023-0459 Deceased name: Alfie Mains-Forster Coroner name: Crispin Oliver Coroner Area: County Durham and Darlington Category: Child Death (from 2015) This report is being sent to: Clevermed Limited REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING SENT TO: 1 The Directors of Clevermed Limited 86-90 Paul Street []

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Date of report: 16/11/2023 Ref: 2023-0458 Deceased name: Terence Duncan Coroner name: Robert Simpson Coroner Area: Berkshire Category: Road (Highways Safety) related deaths This report is being sent to: Department for Transport REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING SENT TO: 1 Secretary of State Department for Transport 1 CORONER []

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Date of report: 17/11/2023 Ref: 2023-0457 Deceased name: Raymond Eggleton Coroner name: David Ridley Coroner Area: Wiltshire and Swindon Category: Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: The Great Western Hospital | Department of Health and Social Care REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS []

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Date of report: 15/11/2023 Ref: 2023-0455 Deceased name: Ocean-Leigh Hayes Coroner name: Rachel Knight Coroner Area: South Wales Central Category: Child Death (from 2015) This report is being sent to: Cardiff and Vale University Health Board REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: The Chief Executive Cardiff & []

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Date of report: 15/11/2023 Ref: 2023-0454 Deceased name: Lauren Smith Coroner name: Joanne Lees Coroner Area: Black Country Category: Emergency services related deaths (2019 onwards) This report is being sent to: West Midlands Ambulance Service University NHS Foundation Trust | Health & Care Professions Council | Wolverhampton University | Quality Care Commission | HSIB REGULATION []

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Date of report: 09/11/2023 Ref: 2023-0453 Deceased name: Christopher Hart Coroner name: Nigel Parsley Coroner Area: Suffolk Category: Emergency services related deaths (2019 onwards) This report is being sent to: Department of Health and Social Care REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING SENT TO: The Right Honourable Steve Barclay MP []

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Date of report: 15/11/2023 Ref: 2023-0452 Deceased name: Madeleine Savory Coroner name: Darren Stewart Coroner Area: Suffolk Category: Child Death (from 2015) | Suicide (from 2015) | Mental Health related deaths This report is being sent to: NHS England REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING SENT TO: The Rt Hon []

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