Elena Wells

“Both the Local Authority and the Trust were involved in the care of Miss [name redacted] for the last 24 hours of her life. Evidence showed that there was a grey area in respect of responsibility for her care, at this time. There was no clear guidance as to who held overall responsibility for her care and there was no clear policy of how the two organisations should work together in these kinds of situations. It is requested that the Local Authority and the Trust consider how to improve communication and”

“In this case a clinical decision was made to leave Miss [name redacted] at home until a bed was found with Miss [name redacted], who was already ill enough to need urgent admission, having to inform the services if she declined further. No provision was made for Miss [name redacted] to be reviewed out of hours, overnight and into the early morning by, for example the Crisis Team, and no advice offered on the existence of a place of safety at the local Mental Health Hospital. Evidence showed that professionals can contact the”