Derek Crowther
9 Oct 2025 · Coroner Chris Morris · Manchester South
The coroner's concerns
1. staff not up to date with ILS training
“registered nurse working on the Unit at the one of Mr [name redacted] death was not up to date with Intermediate Life Support ('ILS') training, despite this being termed 'mandatory'”
2. lack of contemporaneous digital recording of observations
“no mechanism in use on the wards for contemporaneous digital recording of observations”