Carole Lovett
6 May 2016 · Coroner Andrew Walker · London Greater North
The coroner's concerns
1. staff competence and training in NEW Score system and communication
“The level of competence and training of staff working in the Acute Assessment Unit with regard to the use of NEW Score system and communication between all levels of staff.”
2. failure to respond to alarm
“when the monitoring equipment alarmed this did not result in senior staff attending”
3. lack of alternative monitoring when alarms continuously sound
“No consideration was given, when the alarms were continuously sounding, for alternate forms of monitoring”
Responses
No published response was found on judiciary.uk.