Emily Collishaw
27 Jun 2024 · Coroner Andrew Harris · Outer South London
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. insufficient support to maintain physical health and promote abstinence
“the degree of support was insufficient to maintain her physical health or promote abstinence over such a long period of six months before she died”
2. delayed referral for residential care
“the referral for residential care should have been made earlier”
3. prolonged waiting for residential rehabilitation placement
“the delay in accessing residential care had been progressively getting longer over the last 10 years, which posed risks such as sudden death to patients”
Linked reports
Closely relatedConfidence 0.90 · high
Earlier report
“A bespoke placement had been carefully created by those involved in [name redacted]'s care but this had taken several months to arrange.”
This report
“the delay in accessing residential care had been progressively getting longer over the last 10 years, which posed risks such as sudden death to patients.”