John Worthington
28 Jun 2018 · Coroner Margaret Jones · Stoke-on-Trent & North Staffordshire
The coroner's concerns
1. failure to investigate head injury
“had a very significant head injury 10 cm long requiring 15 stiches and exposing the skull. He had fallen downstairs. He gave a history of a fall from 4 steps. He complained of back and neck pain. Examination of the spine did not reveal any tenderness and other observations were within normal parameters. Further investigations were considered unnecessary and the NICE guidelines were considered. . The deceased's presenting condition appeared to fall within a grey area/borderline decision”