Janet Brown Townend (1)
4 Nov 2024 · Coroner Sarah Middleton · City of Kingston Upon Hull and the County of the East Riding of Yorkshire
The coroner's concerns
1. lack of appropriate safeguarding review
“There was a referral to Adults Safeguarding from both Yorkshire Ambulance Service and Hull Royal Infirmary regarding concerns as to the care Ms [name redacted] had received.”
2. inadequate safeguarding review
“The Safeguarding Adult Review that took place did not probe the responses received appropriately from the care company and the Community Nurses in any way.”
3. lack of outcomes communication
“The outcomes of the review and recommendations were not provided to the subjects of the review.”
4. underestimation of safeguarding reviews importance
“The importance of Safeguarding reviews must not be underestimated. They are in place to identify concerns and prevent any such issues occurring in the future.”