Gordon Fenton
23 Apr 2020 · Coroner Adrian Farrow · Manchester South
A similar concern from this report was raised again 2 times later. See the linked reports.
The coroner's concerns
1. shared care between psychiatric and medical services
“there was a particular tension in relation to shared care between Pennine Care NHS Foundation Trust and Tameside and Glossop Integrated Care NHS Trust for patients who are subject to psychiatric care, who have acute medical problems”
2. absence of formalised decision-making process
“There does not appear to be a formalised decision-making process in place involving both Trusts to review the treatment plan to determine the optimum medical and psychiatric care to suit the particular patient's needs”
Linked reports
Closely relatedConfidence 0.90 · high
This report
“There does not appear to be a reliable and consistent method of sharing medical records and information between the two Trusts.”
Later report
“It is a matter of concern that Mental Health Trusts and Acute Trusts operate different (apparently incompatible) electronic records systems.”
Closely relatedConfidence 0.90 · high
This report
“There does not appear to be a formalised decision-making process in place involving both Trusts to review the treatment plan to determine the optimum medical and psychiatric care to suit the particular patient's needs.”
Later report
“The investigation does not undertake any meaningful critical analysis of the decision- making process which resulted in her section being rescinded and her therefore being discharged notwithstanding family concerns in circumstances where no s17 leave had first been trialled”
Responses
2020-0102-Response-from-Pennine-Care-NHS-Foundation-Trust_Redacted.pdf ↗· Pennine Care NHS Trust
Stated action · end of August 2020
“It is planned that his will go live at the end of August 2020”
2020-0102-Response-from-Tameside-and-Glossop-Integrated-Care_Redacted.pdf ↗· Tameside and Glossop Integrated Care NHS Foundation Trust
Stated action · August 2020
“The joint SOP which is scheduled to be trialled in August 2020 will apply to all patients within PCFT's older peoples' mental health inpatient wards. Both organisations will continue to work in partnership to identify, agree and establish working parameters for the Digital Health Team at TGH to support the physical health needs of older people receiving mental health care and treatment on Summers & Hague wards, of which Mr [name redacted] was a patient. The offering of Digital Health services will be conducted”