Charlotte Grace
29 Oct 2019 · Coroner Nicholas Shaw · Cumbria
A similar concern from this report was raised again 3 times later. See the linked reports.
The coroner's concerns
1. discharge without input
“[the deceased] was discharged despite there being no input from those to whose care she was being entrusted”
2. discharge without Home Treatment Team involvement
“a gentleman hanged himself 2 days after a discharge from the Carleton Clinic when again the Home Treatment Team were expected to take over but not invited to the discharge meeting”
Linked reports
Closely relatedConfidence 0.80 · moderate
This report
“(1) [the deceased] was discharged despite there being no input from those to whose care she was being entrusted.”
Later report
“Comprehensive planning for home leave and discharge from hospital was not evident, including contingency planning and the involvement of the family.”
Closely relatedConfidence 0.80 · moderate
This report
“a gentleman hanged himself 2 days after a discharge from the Carleton Clinic when again the Home Treatment Team were expected to take over but not invited to the discharge meeting”
Later report
“I am concerned that following discharge from the Lowry ward to the community and prior to discharge from the community treatment team, the deceased was seen only four times in person by individuals from the mental health team and only once by the care coordinator.”
Closely relatedConfidence 0.85 · high
This report
“[the deceased] was discharged despite there being no input from those to whose care she was being entrusted.”
Later report
“[the deceased] was discharged without any planned follow up. Her family were not involved in the discharge process despite assurances that they would be,”