Winifred Dennis
14 Apr 2014 · Coroner Rebecca Cobb · Kent (North-East)
The coroner's concerns
1. lack of formal handover document for patient transfer
“The evidence was that within Kent Community Health NHS Trust the community nurses are organised into teams dependent upon the GP surgeries that they are covering. As a result, the moving of a patient from her own home to a Care Home, or between Care Homes, can cause her to be transferred from one Community Nursing Team to another, as occurred in this instance. Although the patient's notes would transfer, the Trust had no formal handover document as such for a patient in these had the benefit of”
2. important non-clinical information not transferred
“In other cases, similar important information not directly of a clinical nature might not be transferred and the chances of optimum care being delivered to a patient might accordingly be reduced”