Joseph Cheetham
30 Sept 2020 · Coroner Alison Mutch · Greater Manchester South
A similar concern from this report was raised again 2 times later. See the linked reports.
The coroner's concerns
1. delayed A&E assessment
“Lack of bed capacity in the hospital meant that he spent over 24 hours in the A and E department despite being frail and vulnerable”
Linked reports
Closely relatedConfidence 0.86 · high
This report
“Lack of bed capacity in the hospital meant that he spent over 24 hours in the A and E department despite being frail and vulnerable.”
Later report
“It was during the prolonged wait in the Emergency Department for a mental health bed that Mr [name redacted] left.”
Closely relatedConfidence 0.80 · moderate
This report
“Lack of bed capacity in the hospital meant that he spent over 24 hours in the A and E department despite being frail and vulnerable.”
Later report
“Despite recognising Mr [name redacted] needed to be admitted to a psychiatric hospital in June 2023 but there was no bed capacity, BSMHFT' RCA report identified no remedial action.”
Responses
2020-0189-Response-from-Dept.-of-Health-and-Social-Care_Redacted.pdf ↗· Department of Health and Social Care
2020-0189-Response-from-Greater-Manchester-Health-and-Social-Care-Partnership_Redacted.pdf ↗· Greater Manchester Health and Social Care Partnership
Stated action · early December
“All localities within GM are now in the process of implementing these. In addition to this, further work is being undertaken to help reduce the numbers of attendances to emergency departments. As highlighted in previous correspondence, GM has agreed to a new approach which will incorporate two elements: - Implementation of the new national NHS 111 First Initiative, which will ask patients to call 111 prior to attending an Emergency Department - A new pre-Emergency Department triage and streaming”
2020-0189-Response-from-Stockport-NHS-Foundation-Trust.pdf ↗· Department of Health and Social Care
Stated action
“times The Trust has in place approved policies for protecting meal times. This includes restricting visiting, visual aids to identify people who require extra support and minimising clinical interactions during meal times. Patients are regularly reviewed using the Malnutrition Universal Screening Tool (MUST) score for nutrition and hydration. We monitor nutrition and hydration through nursing quality metrics and the ward accreditation scheme. Trained volunteers also support patients with their”