Neil Edwards

“The inquest was advised that a Falls Panel had been convened to determine, in part, whether action could have been taken to prevent a fall which had occurred on 23/04/23”

“It was determined that [the deceased] [name redacted] should have been under 1:1 observation from the time of his admission until at least the time he fell and sustained the hip fracture on 01/05/23”

“Mr [name redacted] suffered 4 falls whilst in hospital and was not being observed on any of these occasions”

“The trauma associated with his final fall and the requirement for surgery resulted in a stress-related gastrointestinal haemorrhage and his death”