Sean Williams
20 Feb 2026 · Coroner Ian Potter · Inner North London
The coroner's concerns
1. inadequate first aid training and procedures
“the Serco first aid training was inadequate; it did not include a video of a seizure; it did not sufficiently emphasise the urgency of potentially life saving measures such as use of the recovery position; the Serco assessment of the first aid knowledge and competence of its staff was inadequate; Serco failed to provide clear guidance on the emergency button procedures; Serco's policy appeared to conflict with its training slides about whether staff should or are even permitted to drive a casualty direct to hospital; Serco gave insufficient emphasis on urgency and the paramount importance of preserving life”