On 28th 2014 commenced an investigation into the death of Daniel Stickland aged
17. The investigation concluded at the end of the inquest on 13th February 2015. The conclusion of the inquest was death from natural causes; Medical cause of death:
1.a Sudden Cardiac Death with Morphologically Normal Heart
2.Epilepsy

On the 14th May 2014 the deceased was found collapsed having fallen from bed at his residential school St Edwards_ He had been under investigation for seizures but no diagnosis had been made_ Earlier that he had had two seizures now recognised as indicating a form of epilepsy and after the second emergency services were called but did not take him to hospital. On the information presented and in the way presented from non -medically trained school staff and from their own observations of Daniel the emergency personnel felt there was no need to do so. Daniel was taken to Southampton General Hospital where he was pronounced dead the following

In my opinion action should be taken to improve record keeping and streamline the recording of significant events, to ensure staff and outside bodies are accurately briefed in emergencies. Further action should be taken to direct responsibility for all medical matters in a proper chain of command These actions should be taken s0 as to prevent future deaths and believe your organisation has the power to take such action.