Daniel Futers
2 Feb 2023 · Coroner Derek Winter · Sunderland
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. incomplete telephone information recording
“The recording of information, particularly that conveyed by telephone, was not as comprehensive as it ought to have been. For example, a record of an altercation had not been made.”
2. inadequate discharge planning
“Comprehensive planning for home leave and discharge from hospital was not evident, including contingency planning and the involvement of the family.”
3. lack of situational awareness
“Overall situational awareness about [the deceased] was not evident, including the reconciliation of conflicting accounts about him.”
Linked reports
Closely relatedConfidence 0.80 · moderate
Earlier report
“(1) [the deceased] was discharged despite there being no input from those to whose care she was being entrusted.”
This report
“Comprehensive planning for home leave and discharge from hospital was not evident, including contingency planning and the involvement of the family.”