Moses McDonald
2 Dec 2014 · Coroner Lorna Tagliavini · London (Inner South)
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. lack of mandatory and regular glucose testing while on antipsychotic medication
“The lack of mandatory and regular glucose testing while on antipsychotic medication by the Clozapine clinic”
Linked reports
Closely relatedConfidence 0.90 · high
This report
“(1) The lack of mandatory and regular glucose testing while on antipsychotic medication by the Clozapine clinic.”
Later report
“Another (0883-13) following a death from diabetic ketoacidosis, reported the lack of mandatory and regular glucose testing whilst on anti-psychotic medication.”
Responses
2014-0524-Response-by-South-London-Maudsley-NHS-Trust.pdf ↗· South London and Maudsley NHS Foundation Trust
Stated action · within the next 6 months
“The Trust will carry out a full review of the Clozapine clinics across the 4 boroughs with the aim of: e Reviewing the existing operational processes, resources, management responsibilities and function of the Clozapine clinics in each borough - Croydon, Lewisham, Southwark and Lambeth e Determining the core function of these clinics e Clarifying the management roles, responsibilities and reporting structures within each clinic. e Setting core standards of practice across all 4 boroughs”