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Michael Hindes

2023-0521

Prevention of Future Deaths Report

Coroner

Coroner's area

Date of report

Read the PFD report for

Mary Hassell

Inner North London

20 October 2023

Report recipients

Hospitals and other NHS acute settings

Issues raised

2.1.4. Failure to communicate - discharge information

2.2.1. Not talking to the person or their family/carer

2.3.1. Information not sought; lack of professional curiosity; capacity not considered

2.3.4. Other failure of policy, process, practice or professionalism

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