John Humphries
1 Sept 2021 · Coroner Jonathan Landau · South London
The coroner's concerns
1. pressure sores
“I heard evidence that Mr [name redacted]' pressure sore probably started in A&E where he stayed for a long period before being moved to a ward. I was not informed of any skin integrity assessments or measures whilst he was in A&E.”
2. lack of external professional consultation
“When Mr [name redacted] resisted being turned, no advice was sought from external professionals or the nursing home as to how to manage the situation. The nursing home in particular had effectively employed a range of strategies to deal with the situation and would have been able to provide guidance had the staff been contacted.”