LB's inquest

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

[LB's inquest @LBInquest]

The inquest is closed.

[LB's inquest @LBInquest]

Thanks offered by @paulebowen to members of the jury and the Coroner and Coroner's officer @LBInquest

[LB's inquest @LBInquest]

Coroner offers his condolences to Connor's family, friends and supporters

[LB's inquest @LBInquest]

Coroner considers late disclosure concerning and will be writing to @Southern_NHSFT to seek an explanation; shd have been shared months ago

[LB's inquest @LBInquest]

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

[LB's inquest @LBInquest]

Coroner: We've heard there is formal training at the Trust around communicating with families

[LB's inquest @LBInquest]

Coroner understands there have been changes to observation sheets

[LB's inquest @LBInquest]

Coroner is encouraged that there's a process of signing off and validating CTMs now

[LB's inquest @LBInquest]

Coroner: STATT is closed

[LB's inquest @LBInquest]

Coroner: Focus also required on staff to be trained in how to use Rio and where to put relevant information

[LB's inquest @LBInquest]

We've heard toolkit is very good but need information to be accessible

[LB's inquest @LBInquest]

Coroner: 2nd focus Rio and epilepsy risk and training; there's no designated place for relevant risk details

[LB's inquest @LBInquest]

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.

[LB's inquest @LBInquest]

Clear guidelines from @Southern_NHSFT are required and clarity around what is meant in practice in relation to observations

[LB's inquest @LBInquest]

Coroner will focus particularly on inpatient obs re bathing and epilepsy, doesn't share @Southern_NHSFT confidence around sight/sounds obs

[LB's inquest @LBInquest]

First issue involves observations @Southern_NHSFT significant confusion amongst staff

[LB's inquest @LBInquest]

Prevention of Future Death report to @Southern_NHSFT will cover two areas

[LB's inquest @LBInquest]

Coroner will make a report under Regulation 28 on the prevention of future deaths #JusticeforLB

[LB's inquest @LBInquest]

Coroner: Only 1-2% of inquests have juries and thanks the jury for their service

[LB's inquest @LBInquest]

Jury now asked to each sign the record of inquest @LBinquest #JusticeforLB