Gareth Slater
30 Jan 2014 · Coroner Joanne Kearsley · Manchester (South)
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. lack of discharge planning
“The discharge planning in relation to Mr [name redacted] was overshadowed by the impasse in clinical opinion and the length of time it took to resolve this. No doubt because of the difficulties to resolve [the deceased]'s situation there was a failure to actually carry out the important task of discharge planning. No care plan was in place for [the deceased], merely a recognition of the conditions of his Community Treatment Order.”
2. absence of Section 17 discharge planning meeting
“There was no Section 17 discharge planning meeting.”
3. lack of further assessment of independent living ability
“There was no further assessment since 2011 of [the deceased]'s ability to live independently (as opposed to in supported accommodation which had failed).”
4. lack of family involvement in discharge
“There was no attempt to involve [the deceased]'s family in the discharge of [the deceased].”
5. lack of extended leave to assess tenancy management
“There was no use of extended periods of leave for [the deceased] to assess his ability to manage his tenancy.”
6. unfurnished flat with water leak
“Onhis discharge the flat was unfurnished, without carpets and he was not able to reside there. The condition of the flat at the time of [the deceased]'s death remained sparsely furnished with a large water leak in the kitchen.”
Linked reports
Closely relatedConfidence 0.85 · high
This report
“The discharge planning in relation to Mr [name redacted] was overshadowed by the impasse in clinical opinion and the length of time it took to resolve this.”
Later report
“there was no clear system for the primary and secondary mental health services of the mental health trust ,Pennine Care, to develop a joined up discharge plan following a stay on the mental health ward;”
Responses
No published response was found on judiciary.uk.