Malcolm Taylor
28 Oct 2024 · Coroner Jacqueline Lake · Norfolk
This report repeats 1 earlier warning, and was raised again 1 time later. See the linked reports.
The coroner's concerns
1. insufficient mental health beds
“Evidence was heard from NSFT as to action they have taken in an attempt to increase the number of beds available and so prevent future deaths, such as daily meetings of senior staff to discuss caseloads identified at high risk, prioritising those at high risk, weekly meetings with Directors and multi agencies to consider patient flow through the system and discussion with partner organisations to remove barriers to discharge to improve patient flow especially those with social care requirements.”
Linked reports
Identical hazardConfidence 0.90 · high
Earlier report
“had he needed admitting it is apparent no beds would have been available at Green Lane Hospital Devizes”
This report
“Despite these steps there remain insufficient beds available to meet patient need.”
Identical hazardConfidence 0.90 · high
This report
“Despite these steps there remain insufficient beds available to meet patient need.”
Later report
“There appear to be insufficient beds available in psychiatric units to meet patient demand.”