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Date of report: 05/12/2023 Ref: 2023-0499 Deceased name: Samuel Jones Coroner name: Rachael Griffin Coroner Area: Dorset Category: State Custody related deaths This report is being sent to: HM Prison and Probation Service | NHS England REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: The Rt Hon Edward Argar []

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Date of report: 05/12/2023 Ref: 2023-0498 Deceased name: Kyra Aslam Coroner name: Abigail Combes Coroner Area: South Yorkshire (Western) Category: Child Death (from 2015) | Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: Sheffield Childrens NHS Foundation Trust REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS []

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Date of report: 04/12/2023 Ref: 2023-0497 Deceased name: Fraser Moore Coroner name: Julian Morris Coroner Area: Inner South London Category: Railway related deaths This report is being sent to: Department for Transport | Network Rail REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: The Rt. Hon Mark Harper MP, []

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Date of report: 04/12/2023 Ref: 2023-0496 Deceased name: Angela Collins Coroner name: Emma Whitting Coroner Area: Bedfordshire and Luton Category: Alcohol, drugs medication related deaths | Suicide (from 2015) This report is being sent to: ELFT REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING SENT TO: 1 Interim Chief Executive ELFT [REDACTED] []

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Date of report: 24/11/2023 Ref: 2023-0495 Deceased name: Jane Bennett Coroner name: Neema Sharma Coroner Area: Nottingham City and Nottinghamshire Category: Other related deaths This report is being sent to: Mansfield District Council REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING SENT TO: 1 [REDACTED] Head of Housing, Mansfield District Council 1 []

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Date of report: 01/12/2023 Ref: 2023-0494 Deceased name: Samantha Shillito Coroner name: Kevin McLoughlin Coroner Area: West Yorkshire (Eastern) Category: Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: Mid Yorkshire Hospitals NHS Trust | Royal College of Radiologists REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT []

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Date of report: 30/11/2023 Ref: 2023-0493 Deceased name: Donna Donnellan Coroner name: Joanne Kearsley Coroner Area: Manchester North Category: Other related deaths This report is being sent to: Northern Care Alliance | Pennine Care NHS Trust REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: [REDACTED] Chief Executive Northern Care []

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Date of report: 01/09/2023 Ref: 2023-0492 Deceased name: Stephen Ratclife Coroner name: Joanne Kearsley Coroner Area: Manchester North Category: Alcohol, drugs medication related deaths This report is being sent to: Greater Manchester Integrated Care Partnership Board REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: 1. [REDACTED], Chief Executive Greater []

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