SA: there hadn’t been a care and treatment review either; there were things that needed to be done Coroner: what about a risk management plan? SA: in the documents in front of me there is a risk assessment but I didn’t have access to that when I dealt with the incident in June

SA: there hadn’t been a care and treatment review either; there were things that needed to be done Coroner: what about a risk management plan? SA: in the documents in front of me there is a risk assessment but I didn’t have access to that when I dealt with the incident in June