Investigation and inquest
I concluded the investigation into Mr Anderton’s death at an Inquest held on 1st March 2018. The conclusion of the inquest was a Narrative Verdict (Copy attached).
Circumstances of the death
See Narrative Verdict
The published report provides this section by reference to another part of the report.
Coroner’s concerns
(1) the failure of the medical staff to attempt CPR having consulted the wrong set of medical notes