Cherylin Norrell-Goldsmith
27 Oct 2014 · Coroner Richard Travers · Surrey
The coroner's concerns
1. exposed pipe work in cell
“Open pipe work with the cell”
2. lack of multidisciplinary input at ACCT reviews
“Multi‐Disciplinary Attendance / Input at ACCT Reviews”
3. loss of primary source data from prisoners
“Retention of Primary Source Data within the Phoenix Programme”
4. significant medical events not recorded in accessible non‑medical records
“Recording Significant Medical Events on a prisoner's Non‐medical Records”