Shannon Lee
28 Oct 2025 · Coroner Zafar Siddique · Black Country
The coroner's concerns
1. 15-minute observation interval
“despite a new Policy being implemented by the Trust, which specifies that 15-minute observations should be recorded via the electronic tablet at 15-minute intervals. There remains, some confusion and lack of clarity whether the 15-minute time interval can fall within a range of 15 to 30 minutes”