Evelina Vilkiene
6 Mar 2023 · Coroner Nadia Persaud · East London
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. lack of detailed risk assessment or risk management plan
“When [the deceased] was stepped down from the Home Treatment Team to the Early Intervention Psychosis Team, there was no detailed risk assessment or jointly agreed risk management plan.”
Linked reports
Closely relatedConfidence 0.85 · high
This report
“When [the deceased] was stepped down from the Home Treatment Team to the Early Intervention Psychosis Team, there was no detailed risk assessment or jointly agreed risk management plan.”
Later report
“significant omissions that included an incomplete risk assessment in February 2022 for Mr [name redacted] following his transfer following crisis intervention with the Home Treat Team to avoid an admission to hospital when Mr [name redacted] attempted to take his own life”
Responses
2023-0082-Response-from-North-East-London-Foundation-Trust.pdf ↗· North East London Foundation Trust
Stated action
“We have detailed the actions which we will take, within the attached action plan, for your kind consideration”