Christopher Ryan
22 Jul 2022 · Coroner Lydia Brown · West London
The coroner's concerns
1. escorted leave without adequate supervision
“The Consultant [name redacted] had signed the agreed escorted leave form on the basis that [name redacted] would be accompanied 1:1 with a nurse. The purpose of the leave was therapeutic, to enable [name redacted] to access the community in a supported manner. Evidence was before the court that the leave was only to the adjacent car park, to facilitate a smoking break, and 1 member of staff accompanied up to 6 patients. The Trust's own Root Cause Analysis report confirms that the practise was at this time for 1 staff”
2. unsecured car park
“The car park is entirely unsecure and open to the road. Evidence given in court was that the hospital site is non-smoking, but the evidence was unclear whether the car park was considered to be part of the hospital site or separate.”
3. blurred escorted leave boundaries
“My concern is that there has been a tolerated blurring of the boundaries between the intentions of escorted leave for individuals under a MHA section, and the ward staff's ability to facilitate this in a meaningful and therapeutic way to benefit the patients, and that the clinical staff were not aware of this.”
Responses
2023-0053-Response-from-South-West-London-and-St-Georges-Mental-Health-.pdf ↗· South West London and St George's Mental Health NHS Trust
Stated action · July 2023
“the Trust has committed to undertaking a formal and comprehensive review of our 'Smoke Free' policy which has commenced and is due to be concluded in July 2023, which will also include how we ensure that practice reflects policy, particularly around leave.”