Gail Bannister
9 Feb 2018 · Coroner Andrew Cox · Worcestershire
The coroner's concerns
1. discharging patient from HTT to CARS
“The rationale behind discharging Mrs [name redacted] from the HTT to CARS was that she had been seeing too many different people”
2. delayed access to care team
“During the inquest I was told that the deceased's husband tried to speak to members of the care team who were based at the Studdart Kennedy centre when a crisis developed”
3. single point of contact failure
“It took him several hours to get through. I was told there is only one phone line and that this is a known and recurring problem”