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A prevention of future deaths report, also known as a regulation 28 report or PFD report, is a report made by a coroner in the United Kingdom to relevant authorities to attempt to prevent future deaths from causes uncovered during an inquest. [1]
A coroner raises concerns after an ... a prevention of future deaths report said. ... Richard Furniss said the intercom had been out of action "for several years" and ruled "there is a risk that ...
In a a prevention of future deaths report, the area coroner for Norfolk, Samantha Goward, said there had been "significant delays" getting laboratory results and "lengthy waiting lists - even for ...
"In my opinion action should be taken to prevent future deaths and I believe you have the power to take such action," she continued. The GCC told the BBC it would consider the coroner's concerns ...
The Coroners (Investigations) Regulations 2013 is a statutory instrument of the United Kingdom. Regulations 28 and 29 of this statutory instrument provide powers for coroners to issue reports to prevent future deaths , [ 1 ] also known as PFD reports.
A coroner must summon a jury for an inquest if the death was not a result of natural causes and occurred when the deceased was in state custody (for example in prison, police custody, or whilst detained under the Mental Health Act 1983); or if it was the result of an act or omission of a police officer; or if it was a result of a notifiable accident, poisoning or disease. [5]
Copies of the coroner's Prevention of Future Deaths Report were sent to the chief executive of the Royal Free London NHS Foundation Trust, Mr Eastman's family and the Care Quality Commission.
The inquest was heard over three days from 18 September 2023 by Brighton and Hove Coroner's Court at County Cricket Ground, Hove and was led by the coroner, Sarah Clarke. [ 17 ] [ 18 ] [ 11 ] The inquest was adjourned for two weeks while Mrs Clarke formed her conclusion and the prevention of future deaths report.