Emily Inglis
30 May 2019 · Coroner Mark Layton · Camarthenshire and Pembrokeshire
The coroner's concerns
1. lack of overarching risk management plan
“there should have been an overarching risk management plan in place to assist medical professionals and staff in treating and caring for [the deceased]”
2. inadequate record-keeping of risk management and handover information
“deficiencies in record-keeping, both in terms of ensuring that risk management strategies remained up-to-date 1 and in preserving handover records”
Responses
No published response was found on judiciary.uk.