Reginald Collins
30 Jul 2020 · Coroner Alison Mutch · Manchester South
A similar concern from this report was raised again 3 times later. See the linked reports.
The coroner's concerns
1. delayed discharge due to lack of suitable EMI placement
“The inquest heard that Mr [name redacted] could have been discharged from 19th September when he was medically optimised. However he remained in an acute hospital setting until his death on 22nd 1 October because of the challenges of finding a suitable EMI placement for him.”
2. inadequate care environment
“The inquest heard that an EMI placement would have met his needs in a way that an acute hospital setting could not.”
3. insufficient EMI beds
“The inquest was told that the delay was due in large part to a lack of suitable complex EMI beds both locally and nationally.”
4. acute bed shortage
“The delay in his discharge via Adult Social Care meant that an acute hospital bed was not available to the Trust.”
Linked reports
Closely relatedConfidence 0.90 · high
This report
“The inquest heard that Mr [name redacted] could have been discharged from 19th September when he was medically optimised. However he remained in an acute hospital setting until his death on 22nd 1 October because of the challenges of finding a suitable EMI placement for him.”
Later report
“Mr [name redacted] was assessed as being suitable for discharge on 18th December. He remained in an acute hospital setting for a further 4 weeks due to challenges in identifying a suitable care home.”
Closely relatedConfidence 0.90 · high
This report
“The delay in his discharge via Adult Social Care meant that an acute hospital bed was not available to the Trust.”
Later report
“That delay in discharge for patients ready to be discharged due to lack of suitable social care in the community is causing congestion in the hospital admission process”
Closely relatedConfidence 0.90 · high
This report
“The inquest heard that Mr [name redacted] could have been discharged from 19th September when he was medically optimised. However he remained in an acute hospital setting until his death on 22nd 1 October because of the challenges of finding a suitable EMI placement for him.”
Later report
“The inquest heard evidence that patients who suffer from severe dementia who need specialist placements often spend many months in hospital whilst funding and suitable placements are being found.”
Responses
2020-0146-Response-from-Greater-Manchester-Combined-Authority_Redacted.pdf ↗· Department of Health and Social Care
Stated action
“a GM Discharge Pathway and good Discharge to Assess (D2A) system in place”