George Watson
19 Aug 2016 · Coroner R Brittain · Coventry
The coroner's concerns
1. discharge without appropriate medication
“UHCW acknowledged that Mr [name redacted] discharge did not proceed satisfactorily”
2. staffing allocation and resourcing issues
“Issues around staffing allocation and resourcing were discussed in detail at the inquest”
3. monitoring and assessing permanent night shift staff
“The ability of UHCW to monitor and assess staff who work on permanent night shifts was raised at the inquest”
4. investigatory processes not adequately addressed
“UHCW provided oral evidence regarding some steps that have been taken to improve its investigatory processes”
Responses
No published response was found on judiciary.uk.