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Investigation and inquest
On 29 December 2023 I commenced an investigation into the death of Alan Richard LEE aged 76. The investigation concluded at the end of the inquest on 04 June 2024. The conclusion of the inquest was that:
On 17th December 2023 Mr Lee, who had recently been given his dinner in his flat ████████
████████ Abbottswood, Station Road, Rustington, Littlehampton, West Sussex, choked on a food bolus. The staff who came to his aid did not realise he had chocked and sadly he died before the ambulance arrived.
Circumstances of the death
On 17th December 2023 Mr Lee, who had recently been given his dinner in his flat ████████
████████ Abbottswood, Station Road, Rustington, Littlehampton, West Sussex, choked on a food bolus. The staff who came to his aid did not realise he had chocked and sadly he died before the ambulance arrived.
Coroner’s concerns
The issue of concern is that despite the fact that Mr Lee had recently been given his dinner and there was evidence that some or part of it had been consumed, the staff who attended, following Mr Lee using his alarm, did not appear to consider that he may have been choking. Therefore, no life saving techniques were attempted.
Information checked against the published report and official responses