Jane Fenwick

19 Feb 2026 · Coroner Hassan Shah · Northamptonshire

The coroner's concerns

1. non use of dentures
“did not wear her dentures”
2. rushed eating
“had a tendency to rush her food”
3. excessive food intake
“had a tendency to put too much in her mouth”
4. lack of supervision
“was generally not supervised whilst eating”
5. preference for softer food
“had a preference for softer food”
6. identified choking risk
“had a care plan which identified a risk of choking”
7. lack of referral to SALT
“had not been referred to Speech and Language Therapy”
8. 13 week SALT waiting time
“average wait for SALT support is 13 weeks”