Skip to content
recurance

Michalla Sweeting

21 May 2018 · Coroner Maria Voisin · Avon

The coroner's concerns

  1. 1. handover does not include all prisoners/patients undergoing detoxification

    “That the handover includes all prisoners/patients undergoing detoxification. _ That the handover is the responsibility of the registered nurse”
  2. 2. observations not taken close to medication dispensing time

    “Observations for prisoners/patients undergoing detoxification: that they are taken at a time which is close to the time of dispensing medications so that the staff administering the medication have that information”
  3. 3. registered nurse does not review shift records

    “That it includes a review of the records for the shift by that registered nurse”

Responses

No published response was found on judiciary.uk.

  • Built with
  • NVIDIA Nemotron Nano, Super and Ultra
  • Nebius Token Factory inference
  • Qwen3 Embedding 8B on Token Factory
  • Tavily follow-up web search
  • Postgres and pgvector search
  • Next.js site

Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error

Michalla Sweeting · Recurance