Tweets from/about Connor Sparrowhawk's inquest. For more information see #JusticeforLB

Joined September 2015
15 Photos and videos
The inquest is closed.
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Thanks offered by @paulebowen to members of the jury and the Coroner and Coroner's officer @LBInquest
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Coroner offers his condolences to Connor's family, friends and supporters
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Coroner considers late disclosure concerning and will be writing to @Southern_NHSFT to seek an explanation; shd have been shared months ago
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Coroner will continue to make enquiries into 2006 death of patient on STATT, may yet re-open that inquest; bears looking at in this context
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Coroner: We've heard there is formal training at the Trust around communicating with families
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Coroner understands there have been changes to observation sheets
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Coroner is encouraged that there's a process of signing off and validating CTMs now
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Coroner: STATT is closed
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Coroner: Focus also required on staff to be trained in how to use Rio and where to put relevant information
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We've heard toolkit is very good but need information to be accessible
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Coroner: 2nd focus Rio and epilepsy risk and training; there's no designated place for relevant risk details
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We've heard @CareQualityComm are not keen on full ban of bathing and Coroner does not recommend. Will copy report to CQC for their comments.
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Clear guidelines from @Southern_NHSFT are required and clarity around what is meant in practice in relation to observations
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Coroner will focus particularly on inpatient obs re bathing and epilepsy, doesn't share @Southern_NHSFT confidence around sight/sounds obs
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First issue involves observations @Southern_NHSFT significant confusion amongst staff
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Prevention of Future Death report to @Southern_NHSFT will cover two areas
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Coroner will make a report under Regulation 28 on the prevention of future deaths #JusticeforLB
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Coroner: Only 1-2% of inquests have juries and thanks the jury for their service
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Jury now asked to each sign the record of inquest @LBinquest #JusticeforLB
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