Natasha Adams
27 Apr 2022 · Coroner James Bennett · Birmingham and Solihull
The coroner's concerns
1. downgraded care without following policy
“in July 2021 [the deceased]'s level of care level was downgraded from CPA to Care Support without clinicians following the trust's 5 Care Management & CPA/Care Support Policy 2019”
2. no audit of other patients
“4 months later no action has been taken and other patients have not yet had their cases audited”
3. delayed audit approval
“the trust's Clinical Governance Committee needs to approve the audit process, which is unlikely to happen until the summer of 2022, and possibly not until as late as September 2022 because of staff holidays”
Responses
2022-0124-Response-from-Birmingham-and-Solihull-Mental-Health-NHS-Foundation-Trust_Published.pdf ↗· Birmingham and Solihull Mental Health NHS Foundation Trust
Stated action · 24 May 2022
“The audit was undertaken by the Head of Nursing and Allied Health Professionals on 12 May 2022”