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Date of report: 27/04/2023 Ref: 2023-0140 Deceased name: Ben Shipley Coroner name: Ian Pears Coroner Area: West Yorkshire Western Category: Mental Health related deaths | Railway related deaths This report is being sent to: NHS England and NHS Improvement REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING SENT TO: 1NHS England and []

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Date of report: 26/04/2023 Ref: 2023-0139 Deceased name: Elsie Leaver Coroner name: Fiona Wilcox Coroner Area: Inner West London Category: Suicide (from 2015) | Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: St Georges University Hospital NHS Foundation Trust, The Roehampton Surgery and NHS South West London Integrated []

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Date of report: 26/04/2023 Ref: 2023-0138 Deceased name: Colin Gumm Coroner name: Paul Cooper Coroner Area: Lincolnshire Category: Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: Lincolnshire County Council REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING SENT TO: 1[REDACTED] , Legal Services Manager Lincolnshire []

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Date of report: 26/04/2023 Ref: 2023-0137 Deceased name: Nancy Price Coroner name: Kate Sutherland 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 Local Health Board REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING []

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Date of report: 26/04/2023 Ref: 2023-0136 Deceased name: Janet Smith Coroner name: Catherine Mason Coroner Area: Leicester City and South Leicestershire Category: Care Home Health related deaths This report is being sent to: Silver Birches Care Home REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING SENT TO: Silver Birches Care Home 1 []

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Date of report: 25/04/2023 Ref: 2023-0135 Deceased name: John Roberts Coroner name: Guy Davies Coroner Area: Cornwall and the Isles of Scilly Category: Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: Royal Cornwall Hospital Trust and National Institute for Clinical Excellence REGULATION 28 REPORT TO PREVENT FUTURE DEATHS []

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Date of report: 12/05/2017 Ref: 2023-0134 Deceased name: Nasar Ahmed Coroner name: Mary Hassell Coroner Area: Inner North London Category: Child Death (from 2015) | Other related deaths This report is being sent to: Department of Health and Social Care, London Ambulance Service NHS Trust 2, Royal London Hospital, Bromley by Bow Health Centre, British []

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Date of report: 24/04/2023 Ref: 2023-0133 Deceased name: Samuel Howes Coroner name: John Taylor Coroner Area: South London Category: Suicide (from 2015) | Railway related deaths This report is being sent to: Department of Health and Social Care and NHS England REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS []

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