Sarah McGarrigle
19 Nov 2022 · Coroner Catherine McKenna · Manchester North
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. failure to consider relevant information
“clinicians on Aspen Ward did not consider relevant information provided to the ward by the allocated social worker and the AMHP in the assessment of the Deceased's mental disorder”
2. assumption about capacity context
“Consultant [name redacted] who reviewed the Deceased on Aspen Ward made the assumption that concern about the Deceased's capacity were raised in the context of her withdrawal from alcohol”
Linked reports
Closely relatedConfidence 0.90 · high
This report
“the Consultant [name redacted] who reviewed the Deceased on Aspen Ward made the assumption that concern about the Deceased's capacity were raised in the context of her withdrawal from alcohol.”
Later report
“In respect of findings made in relation to the care provided on the day before [the deceased]'s death, it remains unclear even after hearing all of the evidence how the investigators concluded (at page 24 of 44) '[t]here was no reason to doubt [the deceased]'s capacity at this stage'”
Responses
2022-0290-Response-from-NHS-Pennine-Care-FT.pdf ↗· Pennine Care NHS Trust
Stated action · 21/01/22
“During [the deceased]'s admission to Aspen Ward, there was not enough consideration of [the deceased]'s historical mental health diagnoses, contextual clinical information from previous inpatient admissions and community care and her overall complexity. There is evidence of the MDT completing an assessment of [the deceased]'s mental health and associated risks over the course of her admission to Aspen Ward.”