Fiona Humberstone
28 Jun 2021 · Coroner Sean Horstead · Essex
A similar concern from this report was raised again 2 times later. See the linked reports.
The coroner's concerns
1. reliance on patient-provided medication information
“In her statement provided for the purposes of the inquest, FH's consultant psychiatrist listed the medications prescribed to FH at the time of her death but made no reference to the Oromorph.”
2. inability to access GP medication records
“Further, oral evidence from a senior EPUT witness confirmed that the Trust could not, as the electronic systems were presently configured, readily access information held by GP practices regarding individual patients (and vice versa).”
3. delayed access to medical records
“Issues regarding the necessity for access to (and adequate time for the consideration of) medical records including prescriptions for and concordance with medication in advance of mental health reviews undertaken by responsible clinicians has been raised in relation to mental health related death in Essex previously.”
Linked reports
Closely relatedConfidence 0.90 · high
This report
“Further, oral evidence from a senior EPUT witness confirmed that the Trust could not, as the electronic systems were presently configured, readily access information held by GP practices regarding individual patients”
Later report
“some clinicians in the psychology service may not be able to access notes made by clinicians in either other hospitals or other parts of the county”
Identical hazardConfidence 0.92 · high
This report
“does not have access to a definitive record of the medication presently being taken by that patient (and/or their concordance with prescribed medication)”
Later report
“The acute Trust nurse did not have access to the mental health or GP records and not all available information was shared with the acute Trust nurse.”
Responses
No published response was found on judiciary.uk.