Rodney Gates
8 Mar 2021 · Coroner Kate Thomas · Mid Kent and Medway
The coroner's concerns
1. failure to undertake required observations of a patient pursuant to clinical direction and / or the NEWS protocol
“the failure to undertake at all the required observations of a patient pursuant to clinical direction and / or the NEWS protocol which was directly attributable to the conditions of the nursing staff on the ward”
2. overall low number of nursing staff
“the overall low number of nursing staff both within the A&E department and on the ward”
3. reliance on agency nurses
“the reliance on agency nurses”
4. lack of experience and narrow skill set of nursing staff
“the lack of experience and narrow spectrum of skill set of the nursing staff”
5. lack of equipment available to nursing staff
“the lack of equipment available to nursing staff on the ward”