Bency Joseph
7 May 2023 · Coroner Sonia Hayes · Essex
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. delay in prescribing and administering therapeutic medication for first episode psychosis
“Essex Partnership NHS Foundation Trust Mental Health Liaison Psychiatrist assessed [the deceased] as suffering from a first episode psychosis when she attended hospital on 23rd May as an emergency and there was a delay in prescribing and administering therapeutic medication required for a first episode of psychosis with delusions”
Linked reports
Closely relatedConfidence 0.80 · moderate
This report
“[REDACTED] Lorazepam was prescribed and administered on 25 May 2022 at hospital and evidence was that this was sub-therapeutic.”
Later report
“(2) There was confusion about the mental health Trust prescribing dose for Ms [name redacted] antidepressant medication and an overreliance on discussions with her rather than checking the prescription dose and communication with the GP was delayed.”
Responses
2023-0148-Response-from-Essex-Partnership-University-NHS-Foundation-Trust.pdf ↗· Essex Partnership NHS Foundation Trust
Stated action · end of July 2023
“The Trust is currently considering the need to expand the number and types of medications available for nurses to use via PGD. In order to inform these considerations, the Trust's Director of Pharmacy and Service Managers for urgent care pathways are collaboratively reviewing the medication needs for the services.”