Melanie Lowe
11 Nov 2016 · Coroner Caroline Beasley-Murray · Essex
The coroner's concerns
1. lack of specific detail and supporting evidence in action plan
“The trust's action plan is very basic, lacking specific detail. Some elements are blank and there is an absence of supporting evidence. A far more rigorous action plan is required in an effort to prevent future deaths such as [the deceased]'s.”