Luke Chatterton
19 Sept 2025 · Coroner Andrew Harris · South London
The coroner's concerns
1. delayed advanced life support for detained patients
“The safety of the resuscitation process where detained under MH section”
2. failure to recognise deterioration in clozapine patients with suspected obstruction
“The lack of identification of the risks of deterioration and death of a patient chronically on Clozapine with query obstruction, who may benefit from escalation or further investigation, in the emergency department of the acute hospital”
Responses
No published response was found on judiciary.uk.