Nigel Handscomb

_ During your evidence to the inquest it became clear that the notes you had made of your consultation with Mr Handscomb were incomplete and inaccurate. Although in this case accepted that this did not cause or contribute to the death am concerned that; if repeated, it may do so in other cases. The inquest was told that GP records will now be more readily available to hospitals and will therefore inform their decision making processes Your records were made several hours after the consultation You did not record that You had carried out a chest examination, or the result of and July the The this examination: You did not record that Mr Handscomb had told you that he had not taken his Iithium medication for several days. This was of particular importance in view of the possibility that his symptoms might be the result of Iithium toxicity.

(4) You did not record that you carried out a swallow test and that Mr Handscomb could not swallow.

(5) You prescribed medication and recorded that it should be taken once a day in the morning: This was the instruction recorded on the medication packet Your evidence was that you told Mr Handscomb to take the medication that afternoon This was not recorded.