Sally Froggatt
11 May 2016 · Coroner James Adeley · Preston and West Lancashire
The coroner's concerns
1. failure to comply with the Duty of Candour
“a failure to comply with the Duty of Candour”
2. inadequate training of staff
“inadequate training of staff”
3. contradictory pharmacy guideline documentation
“corporate pharmacy guideline documentation that appears to contradict the NICE guidance referred to in other corporate literature”
4. failure to raise risk factors
“failure of BMI nursing staff to raise known risk factors with consultants”
Responses
No published response was found on judiciary.uk.