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..

mr mcgurgan said that mrs cavanagh "died alone" after suffering a terminal collapse and fell from her bed while "the cot sides were down"..

"there is an issue that needs to be addressed in terms of the narrative the health trust tried to present and mislead the inquest and cover up what actually happened..

"their serious adverse incident process has been wholly inadequate and what we have heard this week is a damning indictment of the western trust...