Ian Cockfield
25 May 2022 · Coroner Graeme Irvine · East London
The coroner's concerns
1. patient fall resulting in head laceration
“On Sunday 11th July 2021, Mr [name redacted] was discharged from hospital after treatment. The patient was discharged to a mental health ward at a different hospital. Upon arrival at the mental health ward at 16.00hrs, a review of the patient's falls risk assessment was not undertaken. The following day, Mr [name redacted] suffered a fall whilst mobilising, unsupervised by staff. Mr [name redacted] sustained a serious laceration to his head.”