Clive Turner
12 Sept 2014 · Coroner John Gittins · North Wales (East & Central)
The coroner's concerns
1. lack of knowledge of pain relief administered by Welsh Ambulance Service
“that she did not know what pain relief had been provided to Mr [name redacted] by the Welsh Ambulance Service”
2. lack of awareness of discharge policies for overnight patients
“that she was not aware of any policies within BCUHB relating to the discharge of patients overnight”
3. absence of senior clinicians available for consultation
“that there were no senior clinicians on duty from whom she could seek a second opinion due to the lateness of the hour when she was attending to Mr [name redacted]”