Glenda Day
22 Oct 2015 · Coroner Heidi Connor · Nottinghamshire
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. home leave granted without patient review
“It would appear that twice granted [the deceased] home leave by telephone, without seeing the patient himself”
2. lack of doctor review and risk assessment update
“before any patient is granted home leave, he/she must have : a. been reviewed by a docior ; and b. had his/her risk assessment reviewed”
3. absence of timeframe for reviews
“no timescale for the two requirements referred to above - ie how contemporary does a doctor review and risk assessment review need to be”
4. lack of staff awareness and audit of home leave policy
“concerned to know about the trust's plan in terms of staff awareness of home leave policies, across the trust, as well as auditing”
Linked reports
Closely relatedConfidence 0.80 · moderate
This report
“It is also concerning that there appears to be no timescale for the two requirements referred to above - ie how contemporary does a doctor review and”
Later report
“Lack of compliance with the Trusts Planned Leave policy.”
Responses
No published response was found on judiciary.uk.