Reece Nelson
12 Dec 2023 · Coroner Marianne Johnson · North Lincolnshire and Grimsby
The coroner's concerns
1. lack of alternative contact when staff absent
“On the morning of [the deceased]'s death his family attempted to contact his Care Coordinator due to concerns regarding his mental state. The Care Coordinator was on sick leave, however this information was not reported to the family and therefore no return call was made to them. Had the family been made aware that the Care Coordinator was on sick leave they would have tried alternative routes to contact the mental health services to seek assistance. There should be a system in place whereby alternative”