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recurance

Andrew Roberts

20 Aug 2015 · Coroner John Gittins · North Wales (East and Central)

A similar concern from this report was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. incomplete inaccurate transfer of care form

    “the Transfer of Care Form was not completed by the Doctor who had carried out the examination of the patient and the information contained therein was subsequenily found to be inaccurate”
  2. 2. delayed transfer of care form

    “the Transfer of Care Form was not completed at the time of examination and provided to the Police Officers escorting the detained person to hospital so that it could be returned with them to custody and made immediately available to the custody nurse”

Linked reports

Raised again laterRichard Griffiths14 Sept 2023 · 8 years 1 month later
Closely relatedConfidence 0.80 · moderate

This report

“That the Transfer of Care Form was not completed by the Doctor who had carried out the examination of the patient and the information contained therein was subsequenily found to be inaccurate.”

Later report

“The Health Board's Transfer of Care document at the time the transfer occurred did not include any detail or process as to how the transfer should occur.”
Original on judiciary.uk ↗
Full chain: Incomplete or inaccurate transfer of care documentation

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

Andrew Roberts · Recurance