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Date of report: 25/10/2023 Ref: 2023-0410 Deceased name: Federica Cavenati Coroner name: Priya Malhotra Coroner Area: Inner West London Category: Suicide (from 2015) This report is being sent to: Medicines and Healthcare products Regulatory Agency REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: 1. Medicines and Healthcare products Regulatory []

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Date of report: 26/10/2023 Ref: 2023-0411 Deceased name: Jacqueline Carrey Coroner name: Tom Osborne Coroner Area: Milton Keynes Category: Alcohol, drugs medication related deaths, Care Home Health related deaths This report is being sent to: Milton Keynes University Hospital REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING SENT TO: Milton Keynes University []

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Date of report: 25/10/2023 Ref: 2023-0409 Deceased name: Bronwen Morgan Coroner name: Graeme Hughes Coroner Area: South Wales Central Category: Suicide (from 2015) This report is being sent to: Department for Digital, Culture, Media and Sport | Ofcom | Welsh Health Minister REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT []

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Date of report: 13/10/2023 Ref: 2023-0407 Deceased name: Iain Farrell Coroner name: Brendan Allen Coroner Area: Dorset Category: Other related deaths This report is being sent to: National Coasteering Charter REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: 1. National Coasteering Charter 1 CORONER I am Brendan Joseph []

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Date of report: 24/10/2023 Ref: 2023-0406 Deceased name: Frederick Powell Coroner name: Paul Cooper Coroner Area: Lincolnshire Category: Other related deaths This report is being sent to: Acis Housing REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING SENT TO: 1Acis HOUSING 1 CORONER I am Paul COOPER, HM Assistant Coroner for []

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Date of report: 24/10/2023 Ref: 2023-0405 Deceased name: Tracy Gambrill Coroner name: Susan Evans Coroner Area: South Yorkshire (Western) Category: Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: The Royal College of Surgeons of England | The General Medical Council | NHS England | The Society of British []

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Date of report: 24/10/2023 Ref: 2023-0404 Deceased name: Jennifer Campbell Coroner name: Kate Robertson Coroner Area: North West Wales Category: Hospital Death (Clinical Procedures and medical management) related deaths | Wales prevention of future deaths reports (2019 onwards) This report is being sent to: Betsi Cadwaladr University Health Board REGULATION 28 REPORT TO PREVENT FUTURE []

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Date of report: 13/10/2023 Ref: 2023-0403 Deceased name: Peter Carr Coroner name: Peter Straker Coroner Area: North London Category: Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: Department of Health and Social Care REGULATION 28: PREVENTION OF FUTURE DEATHS REPORT THIS REPORT IS BEING SENT TO: []

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Date of report: 24/10/2023 Ref: 2023-0402 Deceased name: Jonathan McCarthy Coroner name: Hassan Shah Coroner Area: Northampton Category: State Custody related deaths This report is being sent to: NHS England | Practice Plus Group | Ministry of Justice | Serco House REGULATION 28 REPORT ON ACTION TO PREVENT FUTURE DEATHS THIS REPORT IS BEING []

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Date of report: 20/10/2023 Ref: 2023-0401 Deceased name: Jill Brice Coroner name: Gareth Jones Coroner Area: West Sussex, Brighton and Hove Category: Other related deaths This report is being sent to: Department for Housing | Care Quality Commission REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING SENT TO: Mr. Michael GOVE MP []

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