Melvin James
8 Sept 2017 · Coroner Zafar Siddique · Black Country
The coroner's concerns
1. lack of awareness of ongoing delusions
“Evidence emerged during the inquest that by the time of his discharge on Friday 10th February 2017 and as far as the Hospital were concerned, they recorded he showed no evidence of mental illness. However, the Clinician who dealt with the discharge confirmed that he wasn't aware of the conversation he had with his brother on the way to Wolverhampton where Mr [name redacted] was still talking about his delusions including creatures transforming. Significantly, during the inquest he accepted, had he known”
2. missed communication with family
“He also accepted that there was a missed opportunity in communication and information sharing and it was regrettable they didn't speak to the family and explain what symptoms to look out for in case of relapse.”
3. lack of aftercare and referral
“Evidence also emerged during the inquest that after discharge, there was no formal referral or contact made with Mental Health services or his General Practitioner based in the Wolverhampton area. There was no evidence of any aftercare being delivered after discharge back into the community.”
Responses
No published response was found on judiciary.uk.