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Statement following the inquest into the death of Saffron Cole-Nottage

Date: 15 May 2026

Below is a statement from our chief executive, Neill Moloney, following the conclusion of the inquest into the death of Saffron Cole-Nottage.

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Neill Moloney, Chief Executive Officer, said: "We accept the coroner's findings and note the decision to issue a Prevention of Future Deaths report.

"We are deeply sorry Saffron didn't receive the care she deserved, and we offer our sincere apologies to her family for the distress caused by this tragic incident.

"The inquest has identified important areas where our response can and must improve, particularly in how incidents are assessed, prioritised and escalated in their early stages.

"We are carefully considering the coroner's observations and have already begun work to strengthen our call handling and clinical triage processes, as well as our coordination with partner emergency services.

"We are fully committed to learning from this case and taking clear, practical steps to reduce the risk of anything similar happening again.

"Our thoughts remain with Saffron's family and loved ones."

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