Piotr Kierzkowski
12 Oct 2020 · Coroner Nigel Parsley · Suffolk
A similar concern from this report was raised again 4 times later. See the linked reports.
The coroner's concerns
1. lack of depot medication leading to untreated psychotic episode
“In evidence it was heard that [the deceased] had not received his 'depot' medication for some time and was clearly suffering from a psychotic episode at the time of his assessment at the Accident and Emergency department of the West Suffolk Hospital on the 16th December 2019”
2. insufficient bed capacity for informal admissions
“I am therefore concerned in relation to the overall bed capacity for those patients like [the deceased] seeking informal admission”
3. lack of temporary housing provisions for informal admission
“I am concerned about the provisions to temporarily house a patient wishing informal admission in the circumstances that a bed is not immediately available”
Linked reports
Closely relatedConfidence 0.80 · moderate
This report
“as identified that there were no beds available in Suffolk, or anywhere else in the country at the time.”
Later report
“The Inquest was told that prolonged waits in A&E were also due to a lack of beds with the hospital.”
Closely relatedConfidence 0.80 · moderate
This report
“I am therefore concerned in relation to the overall bed capacity for those patients like [the deceased] seeking informal admission”
Later report
“My principal concern is that the above dates indicate available psychiatric bed capacity in Birmingham and Solihull remains inadequate”
Identical hazardConfidence 0.95 · high
This report
“I am therefore concerned in relation to the overall bed capacity for those patients like [the deceased] seeking informal admission”
Later report
“In May 2023, when it was felt Mr [name redacted] required an informal admission into hospital, no beds were available.”
Closely relatedConfidence 0.90 · high
This report
“as identified that there were no beds available in Suffolk, or anywhere else in the country at the time.”
Later report
“bed capacity remains an ongoing problem and has not been resolved.”
Responses
2020-0204-Response-from-Department-of-Health-and-Social-Care_Redacted.pdf ↗· Department of Health and Social Care
Stated action · coming months
“the Norfolk and Suffolk NHS Foundation Trust has increased capacity through the opening of four crisis house beds in Norwich, with plans to open two additional crisis houses in the coming months, as well as extra ward capacity for older people.”
Stated action
“Local bed capacity and crisis care”
Stated action · 2023/24
“Delivering 100 per cent coverage of 24/7, age-appropriate crisis care, via NHS 111, by 2023/24.”
Stated action · 2020/21
“Invested £249 million to ensure every Accident and Emergency department has a mental health liaison team in place by 2020/21;”