Michelle Roach

1. 1. future deaths

   “In my opinion there is a risk that future deaths could occur unless this action is taken.”

2. 2. lack of knowledge about venous thromboembolism signs and symptoms

   “I believe should consider reviewing and updating her knowledge in relation to the signs and symptoms of venous thromboembolism.”

3. 3. poor record-keeping practices

   “I believe should review her record-keeping practices.”

4. 4. inadequate system for investigating unexpected deaths

   “The GP practice should review their system for investigating unexpected deaths in order to learn from them and improve clinical management. It should also audit and review clinical knowledge in this area”

5. 5. insufficient medical registrar cover at night

   “I consider that the trust should review its level of cover by medical registrars at night.”

No published response was found on judiciary.uk.