Alfie Nicholls
14 Feb 2024 · Coroner Alison Mutch · Manchester South
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. nutritionally poor diet leading to medical emergencies
“Avoidant Restrictive Food Intake Disorder (ARFID) was not widely understood by those involved with children and adults who may be impacted by it”
2. impact on overall health and wellbeing ignored
“normalisation of poor and restricted eating by children with autism”
3. incomplete holistic planning for child's needs
“EHCPs were being used as a holistic tool to understand the inter relationship between health and education”
4. identification of health issues delayed
“school nurse service could play a vital role in identifying health issues and supporting other professionals”
5. nutritional support not provided
“The role of a dietician in supporting children with eating disorders could be fundamental in maximising the nutritional value of what they consumed.”
6. medical emergencies from undetected ARFID
“could lead to medical emergencies in eating disorders (MEED). The”
Linked reports
Closely relatedConfidence 0.90 · high
Earlier report
“Inthe absence of school nurses, there is a lack of clear connections between the mental health professionals and those in the education system who have responsibility for the pastoral care of mentally ill children and adolescents”
This report
“The Inquest heard that the school nurse service could play a vital role in identifying health issues and supporting other professionals.”