Jake Taylor
8 May 2026 · Coroner Lydia Brown · West London
The coroner's concerns
1. lack of emergency planning for high-risk individuals
“No planning for this foreseeable emergency. Inadequate staff training (to always conduct CPR if no decision to the contrary) No defibrillator on site and staff misunderstanding of the function of a defibrillator.”
2. absence of airway training and equipment
“No airway training and equipment although Registered Nursing staff have this within their competencies.”
3. unpredictable medical emergencies in high-risk patients
“Medical emergencies in this cohort of patients are predictable but are likely to happen suddenly and unexpectedly.”