Derrick Stanmore
1 May 2015 · Coroner Lydia Brown · Leicester (City & South)
The coroner's concerns
1. abnormal observations not escalated
“Observations were taken on the morning of Mr. [name redacted] death by a registered nurse. The observations were abnormal and required further action to be taken but this was not recognised. A system similar to the hospital "Early Warning Score" (EWS) may assist the healthcare staff in recognising this and escalating care accordingly”