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Darnell Smith

2024-0149
Prevention of Future Deaths Report

Coroner

Coroner's area

Date of report

Read the PFD report for

Tanyka Rawden

South Yorkshire West

18 March 2024

Report recipients

Hospitals and other NHS acute settings

The Court heard evidence despite a warning ‘flag’ being present on the computerised records identifying the existence of an individualised care plan for Darnell, the care plan was hard to locate in the records, and was not considered during his admission.

Issues raised
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