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Date of report: 21/12/2023 Ref: 2023-0547 Deceased name: Wyndham Thomas Coroner name: Laurinda Bower Coroner Area: Nottingham City and Nottinghamshire Category: State Custody related deaths | Suicide (from 2015) This report is being sent to: HM Prison and Probation Services REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING SENT TO: 1 Minister []

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Date of report: 19/12/2023 Ref: 2023-0546 Deceased name: Richard Hedges Coroner name: Alan Blunsdon Coroner Area: North West Kent Category: Other related deaths This report is being sent to: Gravesham Borough Council REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: The Chief Executive, Gravesham Borough Council. The Chief Coroner[REDACTED] 1 []

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Date of report: 21/12/2023 Ref: 2023-0545 Deceased name: Nicholas Dymond Coroner name: Alison Longhorn Coroner Area: Exeter and Greater Devon Category: Railway related deaths This report is being sent to: Devon Partnership NHS Trust REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: [REDACTED] Devon Partnership NHS Trust Wonford []

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Date of report: 21/12/2023 Ref: 2023-0544 Deceased name: Kimberley Liu Coroner name: Ian Potter Coroner Area: Inner North London Category: Alcohol, drugs medication related deaths This report is being sent to: Department for Culture, Media and Sport REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: The Rt. Hon. Lucy []

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Date of report: 21/12/2023 Ref: 2023-0543 Deceased name: Amal Ahmed Coroner name: Sean Cummings Coroner Area: Milton Keynes Category: Road (Highways Safety) related deaths This report is being sent to: Milton Keynes City Council | National Highways REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING SENT TO: [REDACTED] Chief Executive of []

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Date of report: 18/12/2023 Ref: 2023-0542 Deceased name: Carl Owston Coroner name: Gareth Jones Coroner Area: West Sussex, Brighton and Hove Category: Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: Department of Health and Social Care REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING SENT []

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Date of report: 04/10/2023 Ref: 2023-0541 Deceased name: Janet Spencer Coroner name: Michael Wall Coroner Area: Nottingham City and Nottinghamshire Category: Care Home Health related deaths This report is being sent to: Nottinghamshire County Council REGULATION 28 REPORT TO PREVENT DEATHS THIS REPORT IS BEING SENT TO: 1 Corporate Director for Adult Social Care []

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