Helen England
16 Mar 2016 · Coroner Jennifer Leeming · Manchester West
The coroner's concerns
1. lack of protocol for mental health nurses to refer patients to doctors after self-harm discharge
“There was no protocol nor any guidance in place for Mental Health Nurses at the 5 Boroughs NHS Partnership Foundation Trust to follow when considering whether or not to refer to a Doctor a decision to discharge a patient, following an attendance at, or admission to, an acute Hospital consequent upon an episode of self-harm, particularly when the patient is subject to a Community Treatment Order imposed under the terms of the Mental Health Act”