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                                                           CORNWALL
_______________________________________________________________________________
If the Coroner feels that evidence gives rise to a concern that circumstances creating a risk of other deaths will occur or continue to exist, he/she may make a Rule 43 report which is sent to the organisation that  has responsibility for the circumstances. A recipient of a Rule 43 report must send a written response within 56 days to the Ministry of Justice.
                              The Coroner has sent a Rule 43 to the following organisation/s ...


______________________________________________________________________________________________________________________________

                                   HOSPITAL DEATHS: CLINICAL PROCEDURES AND MEDICAL MANAGEMENT
________________________________________________________________________________________________________________
ROYAL CORNWALL HOSPITALS NHS TRUST
Recommendations - Published May 2012
To consider a review to improve the monitoring of patients: the accurate recording of observations: the completion of medical records and improving communication between medical and nursing staff.


​                                                                         MENTAL HEALTH RELATED DEATHS
________________________________________________________________________________________________________________
1.   SULLIVAN CUFF SOFTWARE LIMITED
2.   ROYAL CORNWALL HOSPITALS NHS TRUST
Recommendation - Published May 2012
Sullivan Cuff Software to provide an explanation of their procedures, reporting and audit processes for the use of INRstar for initiating the anti-coagulation process, including enquiries made when a patient dies:  
Royal Hospitals to consider a review of staff awareness of the appropriateness of using INRstar for initiating the anti-coagulation process, and the reporting and auditing procedures following an untoward incident.

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HEALTHWATCH AND PUBLIC INVOLVEMENT ASSOCIATION
   Formerly: National Association of LINks Members (NALM)
         Tel:       020 8809 6551
               Web:       www.hapia2013.org
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                   Company No:  06598770    .    Registered Charity No: 1138181
  • WELCOME
    • GDPR Consent Form
    • GDPR 2018
    • Membership
    • The Steering Group
    • Certificate of Incorporation >
      • HAPIA - Objects of Association
    • Join the Steering Group
    • Health Campaigning
    • Healthwatch Development Network
  • COVID MINI BULLETINS
    • COVID-19 NEWS
  • NEWS
    • Archived News >
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  • CONFERENCES / AGM
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  • PUBLICATIONS
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    • Major Policy Documents
    • Patient Led Inspections
    • PPI Groups - Papers
    • Quality Accounts
    • Revalidation
    • Social Science & Medicine Publications
    • Strengthening Accountability - DH