Najib Naagi

“The clinical support worker who had been tasked with conducting Mr [name redacted] observations recorded that she had observed Mr [name redacted] at the following times: 4.30am 5.30am 6.30am She reiterated that in her statement and in her oral evidence at inquest. She did not volunteer the fact that her record was wrong. It was only when I put it to her in quite robust terms that she accepted this. In fact, the ward CCTV showed that she looked through the observation panel at the following times: 4.48am 6.18am Thus, the record she made did not reflect the actions she took. The consequences of this are as follows: 1. A patient's medical record was wrong. Any healthcare professional seeking to understand when Mr [name redacted] had been observed to be well by reading the record would have been given the wrong information. 2. The fact that this record was wrong casts doubt on the remainder of the record, both in terms of this individual (was he actually well at the times recorded?) and the other patients (were they observed when the record indicates that they were observed?). 3. The court was misled. Observations should be conducted when they are meant to be conducted, but if they are not then this fact must be recorded contemporaneously.”