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Date of report: 15/03/2024 Ref: 2024-0147 Deceased name: Romeo Esposito Coroner name: Simon Fox Coroner Area: Avon Category: Emergency services related deaths (2019 onwards) This report is being sent to: South Western Ambulance Service Trust REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: South Western Ambulance Service Trust 1 []

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Date of report: 04/01/2024 Ref: 2024-0146 Deceased name: Stephen Coster Coroner name: Rachel Redman Coroner Area: East Sussex Category: State Custody related deaths This report is being sent to: HM Prison and Probation Service REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING SENT TO: 1 HM Prison and Probation Service 1 CORONER []

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Date of report: 15/03/2024 Ref: 2024-0145 Deceased name: Sydney Piper Coroner name: Graeme Irvine Coroner Area: East London Category: Alcohol, drug and medication related deaths This report is being sent to: Metropolitan Police Service | Adult Social Care and Quality Standards | London Borough of Waltham Forest | Outlook Care Ltd REGULATION 28 REPORT TO []

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Date of report: 14/03/2024 Ref: 2024-0144 Deceased name: Ernest Smith Coroner name: Sonia Hayes Coroner Area: Essex Category: Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: Princess Alexandra NHS Trust REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: 1. Chief Executive Officer []

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Date of report: 14/03/2024 Ref: 2024-0143 Deceased name: Tobias Mannering-Jones Coroner name: Alison Mutch Coroner Area: Manchester South Category: Suicide (from 2015) This report is being sent to: Department of Health and Social Care | Department for Local Government | Greater Manchester Integrated Care REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT []

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