Abbigail Smith (2)

1. 1. inaccurate discharge summary

   “Abbi spent most of her adult life detained and over 18 months in a specialist Tier 4 mental hospital having been transferred there by her local mental health trust. The Tier 4 specialist team agreed that Abbi did not have a personality disorder. This was a significant change for Abbi and was not accurately set out in the discharge summary.”

2. 2. lack of individualised care plan

   “Expert evidence was there was no individualised care plan recorded for Abbi. There were inaccuracies and omissions in her medical records about Abbi's diagnosis, care and treatment during her care and treatment that were then shared and relied upon by other healthcare professionals in other Trusts.”

3. 3. inaccurate medication recording

   “Medication regimes and changes were not accurately recorded in the medical records, and this included for medication that required statutory monitoring and was difficult to decipher even at the inquest.”

No published response was found on judiciary.uk.