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Emily Caldicott

23 Mar 2022 · Coroner David Reid · Worcestershire
Check this reportOriginal

The coroner's concerns

  1. 1. inadequate capacity assessment leading to delayed Lorazepam administration

    “staff on Holt Ward, Newtown Hospital, Worcester failed to carry out an adequate assessment of [the deceased]'s capacity to make a decision about taking Lorazepam to reduce her extreme anxiety and distress”

  2. 2. incorrect application of Mental Capacity Act 2005

    “staff may not apply the correct test under the Mental Capacity Act 2005”

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