Sarah-Louise Doyle
4 Mar 2022 · Coroner Andre Rebello · Liverpool and Wirral
The coroner's concerns
1. five minute observations recorded at fixed intervals
“On a review of the five minute observations these were recorded exactly on each five minutes after the hour - 05, 10, 15, 20 etc. It will be a matter for evidence to be heard at the inquest whether these times were precise or whether they were written in anticipation of future observations. The observations were covered by one signature with a downward arrow. In other settings it is better practice for five minute observations to be 12 frequent but unpredictable observations within each hour -”