Peter Norman Nott

“in my opinion there was a risk that future deaths would occur unless action is taken. in the circumstances it is my statutory to report to you the matters of concern as follows”

“The need to undertake further examination was heightened when the length of time Dr [name redacted] remained lying down (although conscious) and certainly as this time extended into the afternoon”

“My recommendation is that the Rush Court Nursing Home review the | information they provide to paramedics attending and the procedures in piace to ensure the accuracy of the information can be passed to paramedical staff attending at the”