Coroner reads @NSFTtweets IMR: at this appointment the psychiatrist noted the service user had lost weight but had a protruding abdomen. SA directed the care staff to take the service user to his GP as soon as possible to review this. SA did not examine the service user.

Coroner reads @NSFTtweets IMR: at this appointment the psychiatrist noted the service user had lost weight but had a protruding abdomen. SA directed the care staff to take the service user to his GP as soon as possible to review this. SA did not examine the service user.