Robert Brown
20 Sept 2022 · Coroner Joanne Andrews · North East Kent
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. carer breakdown increasing suicidality on discharge
“Carer breakdown is likely to have increased the risks of suicidality on discharge as this was not addressed during the hospital admission nor on discharge”
2. discharge without notifying carer when no CPA
“As there was no process in place to require contacting a carer on discharge where there is no CPA in place a patient could be discharged without notice to a carer and as such care that is anticipated to be in place on discharge may not be available”
Linked reports
Closely relatedConfidence 0.90 · high
This report
“Carer breakdown is likely to have increased the risks of suicidality on discharge as this was not addressed during the hospital admission nor on discharge”
Later report
“The enhanced carer had not been told the reason that she was providing one to one care for [the deceased], was not aware of any issues in relation to mental health”
Responses
No published response was found on judiciary.uk.