Andrea Thirkell
30 Mar 2015 · Coroner Andrew Tweddle · County Durham & Darlington
The coroner's concerns
1. lack of monitoring after discharge
“Although considered to be medically fit for discharge at 19.25 hours she did not leave the department until 23.03 and during that time she was not subject to any structured form of monitoring or observation although nursing staff may have seen her during that time”