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Rose Hollingworth

2024-0150

Prevention of Future Deaths Report

Coroner

Coroner's area

Date of report

Read the PFD report for

Jonathan Stevens

Inner North London

8 March 2024

Rose Hollingworth

Report recipients

Domiciliary care provider

Issues raised

1.3.1 Information absent/incomplete

1.3.2 Information inaccurate

2.2.3. Language or other comms barrier; no reasonable adjustments made

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

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