Adrian Francis recently represented the family of deceased prisoner at inquest

Adrian Francis recently represented the family of the deceased at this inquest. The deceased was a diabetic and serving prisoner at HMP Lincoln. The deaceased did not receive his required morning and evening dose of insulin medication upon arrival at prison from court. Nottinghamshire Healthcare NHS Trust who provide healthcare services at HM Prison Lincoln made Tainton admissions to this effect. The deceased was admitted to hospital less than 24 hours after arriving at prison after developing diabetic ketoacidosis. He was not treated in accordance with the diabetic ketoacidosis pathway and subsequently suffered a cardiac arrest some 12 hours after his admission to hospital. Sadly the deceased subsequently suffered from multi organ failure passing way 4 days later. Expert evidence was heard that the diabetic ketoacidosis was treatable upon admission and failure to follow the appropriate diabetic ketoacidosis pathway was causative of the deceased's death. A finding of misadventure contributed by neglect was returned by the Jury.