Miles Abel
29 Jul 2016 · Coroner Ian Singleton · Wiltshire and Swindon
The coroner's concerns
1. lack of audit trail for fax referrals
“The procedure in place at the time of [the deceased] death where a GP from the surgery wished to refer a patient to the Community Mental Health Team was to fax the request but no audit trail was kept to show the fax had been sent”