Caroline Forte
27 Apr 2023 · Coroner Penelope Schofield · West Sussex
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. loss of relevant history and medication details
“any relevant history may be lost and details of any regular medication being prescribed may not, in a time of crisis, be immediately known”
Linked reports
Closely relatedConfidence 0.86 · high
Earlier report
“there is no formal policy/protoco! in use/between the private sector and the NHS detailing steps that should be taken (and by whom)”
This report
“Details of her consultations and treatments were not made readily available to those working in the NHS Trusts.”
Responses
2023-0144-Response-from-NHS-England.pdf ↗· Royal College of Psychiatrists
Stated action · 2025
“The Trust has also shared with us a helpful learning briefing on Section 17 leave from inpatient wards. This will be shared with the national Regulation 28 Working Group regional representatives for dissemination across the seven NHS regions, to raise awareness of the issue with their Trusts and to encourage best practice.”
2023-0144-Response-from-Sussex-Partnership-Foundation-Trust-2.pdf ↗· Sussex Partnership NHS Trust
2023-0144-Response-from-Sussex-Partnership-Foundation-Trust.pdf ↗· Sussex Partnership NHS Trust