Adam Bojelian

_ (1) Training Records for Nurses_ The evidence revealed that in 2015, the Trust did not hold records of the training received by individual nurses_ Instead, it was left to each individual nurse to maintain their own training records_

The concern arising from this is that; without accurate records, a Trust cannot be sure a particular nurse has the required skills and competence to out a particular task Instances of this revealed at the Inquest was whether nurses on ward 40 at LGI had received training in relation t0 Bair Huggers or BiPAP ventilation equipment used in the care of critically ill children.

(2) Formal Written Care Plans The evidence taken at the inquest revealed that despite the complex medical needs of this child, no formal written care plan was created for the period he was in hospital, from September 2013 to January 2015 (15 months) It was assumed all the clinicians involved would glean sufficient information from a review of his notes_ The absence of a plan meant that aspects of his treatment were not exposed as being controversial (and disputed by his parents): An example of this related to hydrocortisone therapy_ In complex cases, a comprehensive care plan would provide both parents and clinicians with a basis upon which t0 obtain a second opinion from an independent source in the event of a dispute, as occurred repeatedly in this case_