Hannah Bharaj
24 Jul 2019 · Coroner Alison Mutch · Manchester (South)
A similar concern from this report was raised again 2 times later. See the linked reports.
The coroner's concerns
1. ineffective discharge planning
“discharge planning including communication with GPs and families around risk was not effective”
2. inadequate medication risk assessment
“no clear evidence of consideration of discharge medication and risk around prescribing of medication post discharge from the EDU”
Linked reports
Closely relatedConfidence 0.80 · moderate
This report
“During the time that [the deceased] was placed at the Priory the mental health trust who placed her did not have any discussion with [the deceased], her family or the Priory regarding the placement.”
Later report
“The inquest heard that whilst he was being treated in acute settings there was no coordination or ownership of his care. It was unclear as to who was making decisions and assessing suitability of placement.”
Closely relatedConfidence 0.80 · moderate
This report
“There was no clear evidence of consideration of discharge medication and risk around prescribing of medication post discharge from the EDU.”
Later report
“No medication was prescribed or dispensed to the Deceased at the time of self-discharge.”
Responses
No published response was found on judiciary.uk.