Khairul Rahman
2 Jul 2021 · Coroner Richard Brittain · Inner London North
The coroner's concerns
1. lack of contemporaneous accurate documentation of clinical interaction timing
“There does not seem to be a robust system in place in the prison healthcare setting for contemporaneous or accurate retrospective documentation of the timing of clinical interactions”
2. non-alignment with NEWS2 scoring system
“The interval to further observations being undertaken were not inline with the NEWS2 scoring system”