The documents
Every document referred to in the narrative is listed below. The documents themselves are not published on this site. They include medical records and are held privately; they can be made available to solicitors, journalists or regulators on request.
01Lorazepam — listed side effects (BMA)Referenced in the narrative. Source document not yet supplied.not supplied
02Lorazepam — US study on pneumonia risk in older womenReferenced in the narrative. Source document not yet supplied.not supplied
03Note made at the Mount, 10 August 2017Contemporaneous note made by Shaun Beardsmore in Kathleen's room on the afternoon of 10 August 2017.not published
04Letter to the Coroner's officer, 14 August 2017Sent by e-mail to Mr Firth within days of Kathleen's death; date-stamped at the coroner's office 24 August 2017.not published
05E-mail to the Coroner, 10 November 2017Not cited in the narrative. Included for completeness.not published
06Statement of Paul KielyStatement of the charge nurse on duty, dated 22 October 2017, later changed under oath at the inquest.not published
07Report of Gina Wills — local review (DATIX 28753)The Trust's internal review into the care afforded to Kathleen Beardsmore, Ward 4, The Mount.not published
08Entries in the Paris notes / clinical recordIncluding the five-line entry for the afternoon of 10 August 2017 signed by Emily Carson.not published
09Statement of Dr Aneela Javednot published
10Reports of Dr da CostaExpert reports prepared for the coroner by Dr da Costa of the Sheffield NHS Trust.not published
11Statement of Emily CarsonStatement of the student nurse, made with the assistance of the Trust's solicitor.not published
12Page 29 of the Gina Wills reportThe entry for 10 August 2017 recording that a MEWS test 'had been completed earlier'. Page to be confirmed within exhibit 7.not supplied
13Ward visitor records, 10 August 2017The ward copy served on the family, with the signing-out column empty.not published
14Request for the main reception visitor records, 5 April 2019not published
15Main reception visitor records, The MountServed a few days before the inquest in November 2019, seven months after they were requested.not published
16MEWS observation sheet, 10 August 2017The form recording the tests said to have been carried out by Emily Carson. Date and results appear in two different hands; the entry is unsigned.not published
17Earlier MEWS sheet initialled by Emily CarsonFor comparison with exhibit 16. To be separated out from the MEWS scans — confirmation required.not supplied
18Inquest witness list and running orderServed six months before the inquest; the order was changed on the second day.not published
19E-mail dated 23 October 2019Between the coroner's office and the Trust's solicitor, confirming the original witness order. Source document not yet supplied.not supplied
20Report of Ms Hayward-Sampson — Trust complaints replyThe Trust's response to the formal complaint, reference COMPLA4311.not published
21Correspondence with DAC Beachcroft and the SRAIncludes the Solicitors Regulation Authority's decision of 13 April 2023. Mapping to be confirmed.not published
22E-mails of 17 April 2019Showing the Trust's solicitor was aware of the request for the reception visitor records. Not on the original document list.not published