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recurance

David Clark

15 Feb 2022 · Coroner Geoffrey Sullivan · Hertfordshire

The coroner's concerns

  1. 1. care not escalated appropriately in ICU

    “That care was not escalated appropriately in ICU despite being fully staffed.”
  2. 2. NEWS not calculated or recorded accurately

    “that NEWS, a fundamental aspect of patient care, were not being calculated or recorded accurately.”
  3. 3. documentation poorly completed

    “That documentation, more generally, was poorly completed.”

Responses

No published response was found on judiciary.uk.

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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David Clark · Recurance