Marvin Rue

1. 1. falls risk

   “[the deceased] had fallen prior to his admission to hospital on 8` January 2021 and was therefore, due to his age and circumstances, a”

2. 2. lack of post-transfer risk assessment

   “a review of the MRFA should take place after every hospital transfer”

3. 3. repeated falls without intervention

   “Mr [name redacted] fell 5 times priorto his fatal fall in hospital on 2nd February 2021”

4. 4. inadequate nursing care

   “the staff were under significant pressure due to the effects of the pandemic, and I accept that. However the care that Mr [name redacted] was denied was basic nursing care”

5. 5. lack of 1:1 supervision for high-risk patient

   “had Mr [name redacted] been assessed, he would have warranted 1:1 supervision”

6. 6. absence of audit oversight

   “no evidence that audits were completed at this time”

No published response was found on judiciary.uk.