DEVON
​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

NHS DEVON
Recommendation - May 2012
To consider a review to ensure the results of cytology tests are reviewed and appropriately communicated.


PLYMOUTH HOSPITAL NHS TRUST   
Recommendation - Published May 2012
To consider a review of the systems in place to allocate post operative beds to patients and communication between ward staff and lead consultants.

RESPONSES - Click on each to view their response ...
From:  NHS Devon
            Plymouth Hospital NHS Trust
Both unable to provide information ...
​CARE HOME DEATH

CARE QUALITY COMMISSION   -             
Recommendation - Published:  May 2012
To consider the implementation of risk assessment at Lucerne House, Exeter.
MENTAL HEALTH RELATED DEATHS
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PLYMOUTH TEACHING PRIMARY CARE TRUST
Recommendation - Published May 2012
To consider a review of patient review meetings and whether levels of support could be better handled and communicated to patients.