David Clark
6 Feb 2020 · Coroner Neil Cronin · Lancashire & Blackburn with Darwen
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. incomplete leave documentation
“documentation in relation to leave was not completed fully and incorrect forms used”
2. AWOL procedure not followed
“AWOL procedure was not followed”
3. lack of handover between Safety and Security workers
“a handover was not undertaken between Safety and Security workers”
4. lack of training on policy and procedure
“lack of training on policy and procedure”
5. outstanding insufficient action plan
“there remains outstanding an appropriately sufficient action plan”
Linked reports
Closely relatedConfidence 0.90 · high
Earlier report
“e Hecould not find a copy of the Leave Authorisation that granted [the deceased] leave and felt that documentation of leave fell short of the guidance laid out in the Trust policy for the authorisation of section 17 leave of absence.”
This report
“(1) That documentation in relation to leave was not completed fully and incorrect forms used”