Regulation 28: Report to prevent future deaths: Nora Bruton – Courts and Tribunal Judiciary

Date of report: 25 March 2019 Deceased name: Nora Bruton Coroners name: Adam Hodson Coroners Area: Birmingham and Solihull Category: Alcohol, drug and medication related deaths; Mental Health related deaths; Hospital Death (Clinical Procedures and medical management) related deaths This

Regulation 28: Report to prevent future deaths: Tamsin Grundy – Courts and Tribunal Judiciary

Date of report: 13 March 2019 Ref: 2019-0088 Deceased name: Tamsin Grundy Coroners name: Jacqueline Lake Coroners Area: Norfolk Category: Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: Norfolk & Suffolk NHS Trust

Regulation 28: Report to prevent future deaths: Katharine Dowling – Courts and Tribunal Judiciary

Date of report: 14 March 2019 Deceased name: Katharine Dowling Coroners name: Alan Moore Coroners Area: Cheshire Category: Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: NHS England This inquest addressed a specific