Richard Scott-Powell
19 Apr 2022 · Coroner Anna Crawford · Surrey
The coroner's concerns
1. lack of escalation of NEWS2 scores
“There is no recorded escalation of Mr [name redacted] NEWS2 scores on 13 January 2021”
2. incomplete vital sign recording
“During the period from 14 January 2021 onwards, only some of his vital signs are recorded, some of which fall outside normal parameters. There is no recorded escalation of these observations in the record”
3. vague vital sign documentation
“During the period from 14 January 2021 onwards, a number of entries record that his vital signs were okay without detailing the actual outcome of those observations”
4. insufficient staff understanding of policies
“it remains unclear to the Court as to whether there are sufficient and appropriate policies are in place, which are well understood by the staff, in relation to the taking, recording and escalation of vital observations at Holy Cross Hospital”