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<p>Publication of the responses to Prevention of Future Deaths (PFD) reports is a
matter for the Chief Coroner as set out in the Coroners (Investigations) Regulations
2013.</p><p>The Department takes seriously concerns raised by coroners. Where coroner
reports are issued to the Department for response, officials liaise with the relevant
bodies to ensure concerns are carefully considered and lessons are identified, so
that appropriate action can be taken.</p><p>The Department responded to one PFD report
concerning asthma services on 24 April 2019. This was in response to the Prevention
of Future Deaths Report issued by the Assistant Coroner for the Eastern Area of Greater
London following the inquest into the death of Sophie Holman.</p><p> </p><p>The Government
is committed to doing all it can to ensure the National Health Service learns from
tragic, avoidable deaths and provides high quality, safe care for all patients. This
is demonstrated by publication of the NHS Patient Safety Strategy on 2 July 2019.
The strategy provides a framework for patient safety improvement over the next ten
years and sits alongside the NHS Long Term Plan.</p>
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