Barbara Mayer
23 Mar 2015 · Coroner Jacqueline Lake · Norfolk
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. carer fatigue
“mG was noted to show signs of Carer fatigue, but this was not followed up”
2. lack of trusting relationship
“Although seen regularly by the Crisis Team, Mrs [name redacted] was seen by a number of different people as a result of which no trusting relationship could be established. She had to repeat her history at each visit to a different person about personal matters”
3. treatment without explanation
“Different treatments were offered to Mrs [name redacted] without the reasoning or their efficacy being discussed with her”
4. delayed access to urgent care
“Mrs [name redacted] required help urgently on 14 November 2014 but due to an increase in demand no one was available to see her until 16 November 2014”
Linked reports
Identical hazardConfidence 0.92 · high
This report
“Although seen regularly by the Crisis Team, Mrs [name redacted] was seen by a number of different people as a result of which no trusting relationship could be established.”
Later report
“Miss [name redacted] repeatedly spoke about her concern about the number of people involved in her care, particularly from the Crisis Resolution Home Treatment Team.”
Responses
2015-0113-Response-by-Norfolk-Suffolk-NHS-Trust.pdf ↗· Norfolk and Suffolk NHS Foundation Trust
Stated action · early September
“The Trust is planning to review the functions of the CRHT over the forthcoming months. Included within this review will be how we can improve the consistency of staff engaged with the service user. | would like to provide you with an update on progress in early September.”