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the staff's "dearth of knowledge" about the correct procedure to follow when someone dies unexpectedly was also highlighted. .
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"we have to thank the coroner and his office for the work they have done. they have clearly listened to all of the evidence and came to the conclusion the family had all along. .
the longest one patient waited for treatment following a gp referral in 2017 was 541 days - against a target of 62 days. .
"it has been a long two years and throughout that time the western trust has not been assisting us in trying to understand the circumstances around our mother's death. .
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