Michael Richardson

“There was within Mr [name redacted] records an ambulance crew report which recorded that Mr [name redacted] was said to have not eaten for 5 days. In evidence before me it was confirmed that the ambulance report would have been available to the person who undertook the MUST screen. I[t also appeared that this may not have been reviewed at the time. If it had been reviewed the evidence given before me was to the effect that the information might have led to a MUST score of 2 which would in turn have led”