Emmett Gillah

1. 1. insufficient detail in discharge letter

   “The discharge letter written by KMPT on 24 April 2015 addressed to Mr [name redacted], copied to his GP contained insufficient detail to assist Mr [name redacted] GP to either 3 understand the circumstances of Mr [name redacted] discharge or the nature of the care delivered to Mr [name redacted] by KMPT, including the diagnosis of his mental illness”

2. 2. failure to maintain required telephone contact

   “KMPT failed to act in accordance with its policy to maintain telephone contact with discharged patients or their family at least every three months for a period of three years following discharge. This policy also states that within three years from discharge from the EIS, contact may be made by a discharged patient direct with Mental Health Services in order to receive treatment. KMPT procedures were inadequate in communicating this information to either the discharged patient, their family or”

3. 3. inadequate communication with patient families

   “More broadly to those issues raised at (1) & (2), communication arrangements in existence within KMPT between staff engaged in the care of a patient and patient families who may be directly affected by decisions relating to the patient's treatment, were inadequate e.g. Mr [name redacted] family were not consulted in relation to the decision to discharge Mr [name redacted] or received any formal communication in relation to the circumstances of Mr [name redacted] discharge.”

4. 4. staff unawareness of discharge and contact policies

   “There was evidence received at Inquest which indicated that KMPT staff were unaware of KMPT policies relating both to the process of discharge and subsequent arrangements to be put in place concerning the maintenance of contact with patients and where appropriate their families.”

No published response was found on judiciary.uk.