Silvia Taylor
16 Jul 2014 · Coroner Martin Fleming · Surrey
The coroner's concerns
1. lack of urgent medical attention
“Although initial reports from Mrs [name redacted] gave no concern for the need for urgent medical attention, unsuccessful attempts to contact her were not acted upon for several hours.”
2. communication failure
“The difficulties in establishing telephone contact with Mrs [name redacted], were not conveyed to the family.”
3. no speech call procedures
“I would ask that you consider giving further consideration to the no speech call procedures in relation to after hours support.”