Marcus Coates-Walker - All Cases

The inquest explored multiple issues, including: (i) the assessment and management of his risk of self-harm / suicide (including identifiable...

The jury found that the staff at Moorland View Hospital did not appreciate the risk that Sam Pounsberry posed to...

Other issues included: (i) the administration of steroids prior to delivery; (ii) the timing of Caesarean delivery; (iii) the midwifery,...

The perforation was repaired but he died in circumstances that were unclear. Issues: (i) his antenatal care, specifically whether the...

Issues: (a) the precise time of death; (b) the assessment and management of his risk of suicide; (c) failures in...

Issues included: (i) whether she should have been reviewed at hospital earlier; (ii) the adequacy of her examination and chest...

Mental health services from Southern Health and Hampshire County Council were urged to ‘work smarter’ to avoid this tragedy ever...

Stephen Thurman-Newell repeatedly pleaded “help me” and told 999 call handlers that he was struggling for breath and did not...

Issues explored at the inquest: (a) the adequacy of capacity assessments, discharge decisions and psychiatric assessments; and (b) causation. This...