Lewis Colgan
9 May 2018 · Coroner Crispin Butler · Buckinghamshire
A similar concern from this report was raised again 2 times later. See the linked reports.
The coroner's concerns
1. care coordinator supervision and caseload management
“It was clear from the evidence that the role of the care coordinator is very important in terms of engagement with patients, conducting risk assessments, coordinating necessary or periodic meetings and providing regular input to the care team. In [the deceased]' case the evidence indicated that the last care coordinator with conduct of his case had not received supervision, that the caseload was, for a period, incompatible with part time working, and that the frequency of engagement with [the deceased] had reduced”
2. absence of robust CPA meeting alert and scheduling process
“There did not appear to be a robust reactive process for alerting members of the care team in relation to overdue Care Programme Approach (CPA) meetings nor a proactive approach to addressing the scheduling of these. Evidence given during the Inquest from different Trust witnesses appeared to identify a difference of opinion as regards what the policy was for frequency of CPA meetings. A concern exists regarding knowledge of what the current policy is and how it is being applied.”
3. insufficient supervision of care coordinator role
“there remain concerns that supervision within teams and cross-supervision between teams, particularly of the critical role and caseload of care coordinator, may still lack robustness.”
Linked reports
Closely relatedConfidence 0.80 · moderate
This report
“There did not appear to be a robust reactive process for alerting members of the care team in relation to overdue Care Programme Approach (CPA) meetings nor a proactive approach to addressing the scheduling of these.”
Later report
“The application of the CPA policy for patients such as [the deceased] so that they will have a detailed care plan with which they can engage and which informs the family, the care coordinator and the community team on discharge from the inpatient setting.”
Closely relatedConfidence 0.85 · high
This report
“supervision within teams and cross-supervision between teams, particularly of the critical role and caseload of care coordinator, may still lack robustness.”
Later report
“no care co- ordinator or key worker was provided to [name redacted] after her discharge from hospital on 7th of September 2022.”
Responses
No published response was found on judiciary.uk.