Marcie Tadman
1 Apr 2019 · Coroner Maria Voisin · Avon
The coroner's concerns
1. lack of second ward round on paediatric ward
“heard from the independent expert Dr. [name redacted] that the only opportunity for [the deceased] to be picked up with fresh eyes would have been at another ward round”
2. absence of High Dependency Unit on paediatric ward
“was also made aware at the inquest that there is no High Dependency Unit (HDU) facility on the RUH paediatric ward for children in their care”