Jamie Funnell
13 Oct 2025 · Coroner Rachel Redman · East Sussex
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. outdated standard operating procedure for alcohol dependence management
“1.The Standard Operating Procedure for Assessment and Management of Alcohol Dependence expired in March 2024. I heard evidence that it will be replaced by an updated Policy on 9.10.25. I asked for a copy of the draft Policy to determine whether issuing a PFD could be avoided when hearing evidence about PFD matters but was advised by the PPG's legal representative that this was not possible, without a reason why being offered. I consider that action should be taken to prevent a failure to update”
2. inadequate life support training and faulty equipment
“I heard evidence describing the care given to [the deceased] after his collapse as chaotic, with faulty equipment and incorrect CPR technique. The Ambulance crews witnessed the healthcare members carrying out CPR before taking over. After [the deceased]'s death was confirmed, a crew member raised concerns with the Duty Governor about the CPR attempts she had witnessed. I have heard evidence that although 32 eligible healthcare staff have now completed life support training, I have not heard any evidence regarding”
Linked reports
Closely relatedConfidence 0.70 · moderate
Earlier report
“One officer told me that it did not cross his mind to start CPR in the three minutes it took nurses to arrive after Mr [name redacted] was found not breathing.”
This report
“I heard evidence describing the care given to [the deceased] after his collapse as chaotic, with faulty equipment and incorrect CPR technique.”