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Simon Harper

9 Nov 2016 · Coroner Sarah Slater · South Yorkshire (West)
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The coroner's concerns

  1. 1. lack of documented training for portable oxygen cylinder use

    “The inquest heard that in November 2010 the act of connecting a patient to an oxygen cylinder for transfer was reassigned from porter staff to nursing staff”

Responses

No published response was found on judiciary.uk.

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error

Simon Harper · Recurance