Terence Millington
2 Mar 2017 · Coroner Christopher Dorries · South Yorkshire(West)
The coroner's concerns
1. incident investigation not covering all relevant parties
“It is acknowledged that an incident investigation was undertaken by the Trust at my invitation during the inquest which sets out steps to be taken to prevent a repetition of the contact issue. Nonetheless I believe this report remains necessary so that lessons might be learnt beyond the Sheffield Teaching Hospitals Trust”