Jane Shilton
22 Feb 2022 · Coroner Fiona Butler · Leicester City and South Leicestershire
The coroner's concerns
1. lack of timely first aid training
“I remain concerned and that concern is heightened when having heard the evidence of the support workers on shift that evening to learn that updated first aid training was only undertaken 5 days prior to this incident”
2. insufficient first aid training frequency
“first aid training is only undertaken at the minimum requirement of every 3 years”
3. ineffective emergency response
“the failure to attempt to deliver any first aid Regulation 28 - After Inquest Document Template Updated 30/07/2021 would not have made any difference in her case as she had been sadly passed away for some time.”