Dean Bray
25 Nov 2024 · Coroner Rachel Spearing · Hampshire, Portsmouth & Southampton
The coroner's concerns
1. inability to make direct 999 emergency call from seclusion room
“Staff conducting 121 observations upon a patient within the seclusion room were unable to make a direct 999 emergency call from the observation room as no outside line was available from this handset to respond to a medical emergency”
2. delayed access to patient in seclusion
“I heard evidence from Paramedics of a delay, and difficulty with accessing the patient who was being cared for in seclusion”
3. lack of shared access route information
“The most immediate access route to the ward used by secure transport services being unknown by South Central Ambulance Service and not shared with them to assist responding to a medical emergency at Antelope House”