Dennis Redmore
9 Aug 2017 · Coroner Andrew Barkley · South Wales Central
The coroner's concerns
1. inadequate neurological monitoring
“There where clear failures to monitor the deceased neurologically with gaps of several hours between observations. He should have been monitored every 30 minutes but was in fact, according to the evidence monitored at 20:15, 21:00, 22:00, 23:00, 01:00, 04:00, 07:30 and 08:50.”