Department of Health and Social Care
Coroner Alan Wilson · Blackpool & Fylde
No published response from this organisation found.
Coroner Graeme Irvine · East London · in 1 recurrence link
Response · 1 stated action
2023-0315-Response-from-Department-of-Health-and-Social-Care.pdf ↗“include: increasing nursing capacity; holding weekly multidisciplinary Complex Case discussion meetings; updating the risk escalation process; devising standardised operating procedure relating to how district nurses conduct their daily handovers; providing relevant training for health and social care staff; making the completion of mental capacity assessments in complex cases mandatory; undertaking risk assessments to identify anxiety and depression scores; increasing frequency of high risk cases”
Coroner Nadia Persaud · East London · in 1 recurrence link
Response · 4 stated actions
2023-0313-Response-from-North-East-London-Integrated-Care-Board.pdf ↗“We are developing a business case to secure additional funding to support improved resourcing of CAMHS services within NELFT.”
“The business case will also include requirements to implement a face to face approach for initial CAMHS assessments.”
“Recruitment of consultant psychiatrists is a national issue which we recognise locally - NHS North East London is working with NELFT and other providers to support recruitment and looking at innovative ways of recruiting. This work is being led by our Chief People and Culture Officer,”
“In the short term for CAHMS for NELFT we have developed a business case for more funding to support this demand.”
Response · 1 stated action
2023-0313-Response-from-North-East-London-Foundation-Trust.pdf ↗“The Trust is determined to ensure that all patients receive care in a person-centred approach and that the patient's voice is at the centre of planning the patient's care. The Trust's expectation is that the young person's voice is heard in the triage, initial assessment, care/treatment plan, and follow-ups alongside their parents / responsible adults.”
Coroner Joanne Kearsley · Manchester North
No published response from this organisation found.
Coroner Abigail Combes · South Yorkshire (West District) · in 9 recurrence links
Response · 3 stated actions
2025-0402-Response-from-DHSC.pdf ↗“In addition, all North East & Yorkshire systems have been asked for assurance that national guidance is being followed.”
“Ambulance services received £200 million of additional funding in 2023/24 to expand capacity and improve response times, and we are maintaining this additional capacity in 2024/25.”
“In 2023/24, average Category 2 ambulance response times (including for serious conditions such as heart attacks and strokes) were over 13 minutes faster compared to the previous year, a reduction of 27%.”
Coroner Graeme Irvine · East London · in 1 recurrence link
No published response from this organisation found.
Coroner Chris Morris · Manchester South · in 4 recurrence links
No published response from this organisation found.
Coroner Alison Mutch · Manchester South · in 3 recurrence links
Coroner Alison Mutch · Manchester South · in 3 recurrence links
Coroner Alison Mutch · Manchester South · in 4 recurrence links
Coroner James Bennett · Birmingham and Solihull · in 5 recurrence links
Response · 1 stated action
2023-0244-Response-from-Department-of-Health-and-Social-Care.pdf ↗“We are investing at least £2.3 billion of additional funding a year by March 2024 to expand and transform mental health services in England so that two million more people can get the mental health support they need.”
Coroner Laurinda Bower · Nottingham City and Nottinghamshire
No published response from this organisation found.
Coroner Louise Hunt · Birmingham and Solihull · in 1 recurrence link
Response · 1 stated action
2023-0241-Response-Medicines-Healthcare-products-Regulatory-Agency.pdf ↗“We will continue to keep the issue of monitoring for clozapine toxicity under close review, including reviewing Yellow Card cases and we will be writing to the marketing authorisation holders to investigate further thresholds for clozapine toxicity.”
Coroner Anna Loxton · Surrey
No published response from this organisation found.
Coroner Louise Hunt · Birmingham and Solihull
Coroner Anna Crawford · Surrey · in 2 recurrence links
No published response from this organisation found.
Coroner Anna Crawford · Surrey
No published response from this organisation found.
Coroner Andre Rebello · Liverpool and Wirral · in 9 recurrence links
Coroner Alison Mutch · Manchester South · in 6 recurrence links
Response · 1 stated action
2023-0197-Response-from-Department-of-Health-and-Social-Care.pdf ↗“we published our 'Delivery plan for recovering urgent and emergency care services' which aims to deliver sustained improvements in waiting times”
Coroner Zak Golombeck · Manchester City
Coroner Nadia Persaud · East London
Response · 3 stated actions
2023-0173-Response-from-NELFT.pdf ↗“Learning event to be arranged on this case with specific reference services were aware BDD for all staff on BDD and the importance of working with partner agencies.”
“The Trust is planning to undertake a Quality Improvement Project on understanding why there are gaps in risk assessment and risk of accessing such management processes (a couple of examples of reoccurring treatment to [the deceased] themes), particularly when there are poor outcomes associated 30/09/2024 Assistant or attempted to share with care provided.”
“Training department to arrange training on BDD for all staff this 01/12/2023 heard that there is a (BDD) training to to be in conjunction with SLAM who offer training in this need for training to be be offered to all specialised area.”
Coroner Peter Taheri · Suffolk · in 9 recurrence links
Response · 1 stated action
2024-0238-Response-from-Department-of-Health-and-Social-Care.pdf ↗“published our Delivery plan for recovering urgent and emergency care services' which aims to deliver sustained improvements in waiting times, including to reduce Category 2 response times to 30 minutes on average this year”
Coroner Peter Straker · North London
No published response from this organisation found.
Coroner Joanne Kearsley · Manchester North
Response · 1 stated action
2024-0062-Response-from-Manchester-University-Foundation-Trust.pdf ↗“We recommend the development of similar guidelines for GAS.”
Coroner Graeme Irvine · East London
No published response from this organisation found.