The response addresses parts of the report that relate to coroners and the recommendations that are associated with the coroner service

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Date of report: 01/12/2023 Ref: 2023-0491 Deceased name: Anthony Williams 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 I []

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Date of report: 30/11/2023 Ref: 2023-0490 Deceased name: Julia Murphy Coroner name: Julie Goulding Coroner Area: Sefton, St Helens and Knowsley Category: Care Home Health related deaths This report is being sent to: Abbey Wood Lodge Care Home REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING SENT TO:[REDACTED] (manager) Abbey Wood Lodge []

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Date of report: 30/11/2023 Ref: 2023-0489 Deceased name: Katherine Flynn Coroner name: Anita Bhardwaj Coroner Area: Liverpool and Wirral Category: Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: NHS England | NHS Improvement | Society of British Neurological Surgeons REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT []

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Date of report: 27/11/2023 Ref: 2023-0488 Deceased name: Gerald Cruse Coroner name: Debbie Rookes Coroner Area: Avon Category: Emergency services related deaths (2019 onwards) This report is being sent to: Department of Health and Social Care | Bristol Ambulance Emergency Medical Services | Royal United Hospitals Bath NHS Foundation Trust | South Western Ambulance Service []

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Date of report: 17/11/2023 Ref: 2023-0487 Deceased name: Glenn Lockwood Coroner name: Ian Potter Coroner Area: Inner North London Category: Alcohol, drugs medication related deaths This report is being sent to: The Limehouse Practice REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: 1. The Managing Partners The Limehouse Practice []

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Date of report: 27/11/2023 Ref: 2023-0486 Deceased name: Luke Whitelaw Coroner name: Ian Potter Coroner Area: Inner North London Category: Suicide (from 2015) This report is being sent to: Oxleas NHS Foundation Trust REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: [REDACTED] Chief Executive Oxleas NHS Foundation Trust Pinewood []

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