Alexandra Tolley
14 Oct 2021 · Coroner Kevin McLoughlin · West Yorkshire (East)
The coroner's concerns
1. patient absconding without restraint or follow up
“The Care Plan agreed between Ms [name redacted] and the team treating her, included a provision that in the event she absconded, she would neither be restrained, nor followed. Given her history and risk profile, it appeared this contingent instruction to staff regarding the risk of absconding, placed too much emphasis on her long term ability to manage her own turbulent emotions, at the expense of the imperative of keeping her safe. The priorities underlying such instructions merit further review.”