Daniel Rennoldson
17 Jun 2021 · Coroner Derek Winter DL · City of Sunderland
The coroner's concerns
1. multiple face to face response without contingency
“there appeared to be no contingency to deal with more than one face to face response at a time, leaving other callers potentially at risk”
2. delayed home visit without case identification
“almost 12 hours had elapsed from [the deceased]'s call to someone visiting his home address with no mechanism to identify cases, which had not been progressed”