Murray Hyslop
14 Oct 2021 · Coroner Gordon Clow · Nottinghamshire
The coroner's concerns
1. pressure damage
“lack of appreciation of the need to consider Mr [name redacted] extreme vulnerability to pressure damage when he was very unwell, dehydrated, malnourished and largely immobile”
2. failure to identify need for medical attention
“no evidence of any expectation upon any members of staff to consider a broader view of Mr [name redacted] presentation than how he was on a particular day”
3. obfuscation and denial of care issues
“culture within senior staff of obfuscation and denial when issues regarding care are raised”
Responses
No published response was found on judiciary.uk.