Thomas Jordan
10 Aug 2016 · Coroner David Hinchliff · Yorkshire West (East)
The coroner's concerns
1. administration of Digoxin after request to discontinue
“Healthcare staff at the Prison continued to administer the drug Digoxin for several days after the Clinicians at the Hospital had requested that it be discontinued.”
2. breakdown in communication
“There had been a breakdown in communication between the Hospital and the Prison when Mr [name redacted] was discharged.”
3. delayed discharge correspondence
“The problem appears to be at the Prison as there was discharge correspondence sent back with him, but this was not immediately available to Healthcare staff and was not reviewed by them.”
4. lack of electronic discharge summaries
“require that the Head of Healthcare at Her Majesty's Prison liaise with the Medical Director of the Leeds Teaching Hospitals NHS Trust to discuss the feasibility of discharge summaries in respect of Prisons being sent to the Prison's Healthcare facility electronically to ensure that any directions and advice as to future care are received promptly and can take immediate effect.”
5. patient confidentiality concerns
“Should there be issues of patient confidentiality, this can be addressed by the Prison having a secure email facility dedicated for this purpose.”
Responses
2016-0287-Response-from-Care-UK.pdf ↗· Foundation Trust
Stated action
“the Head of Healthcare at HMP Leeds has discussed the above with the Clinical Director for Urgent Care at Leeds Teaching Hospital. The Director has agreed that an electronic summary can be issued with all patients who transfer back to HMP Leeds following discharge from a hospital admission. The Hospital currently send an electronic summary to the registered GP and the process for sending the same to the prison can be incorporated within their system. IT personnel from both the Hospital and Care”