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recurance

Geoffrey Brooks

15 Sept 2023 · Coroner Philip Spinney · Exeter and Greater Devon

The coroner's concerns

  1. 1. inadequate fluid intake management

    “During his evidence the consultant physician with the responsibility for the care and treatment of Mr [name redacted] acknowledged that the discharge summary was ambiguous and did not make it clear that the 2.5 - 3L was a target fluid intake; he agreed that it could be interpreted that Mr [name redacted] should be restricted to no more than 2.5 to 3L of fluid a day. As a consequence, the nursing home staff were unaware of the needs of Mr [name redacted]. The target fluid intake was not met in the period that Mr [name redacted] was”

Responses

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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.

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Geoffrey Brooks · Recurance