Linda Hudson
24 Sept 2013 · Coroner Andrew Tweddle · County Durham and Darlington
The coroner's concerns
1. discharge with insufficient medication supply
“The deceased was discharged from hospital with 3 days prescription of her medication. In the community she had to collect her prescription on a daily basis to reduce the risk of self-harm or suicide. The Consultant [name redacted] giving evidence at the inquest said that he was unaware of this.”
2. lack of family notification after discharge
“Upon discharge the hospital did not contact the family to make them aware of her discharge even though family members had visited the deceased whilst in hospital. It may well have been that if the family had contacted the deceased upon her discharge and given support that her death could have been avoided.”
3. delayed nurse follow-up after discharge
“The deceased was discharged from hospital on the Thursday and no follow up visit from a nurse was scheduled until the following Monday. The Consultant [name redacted] attending the inquest giving evidence confirmed that this was too long a time taking into account all of the circumstances of the case and a nurse should have made contact with the deceased probably the next day or the Friday though he was unable to say whether this might have made any difference in all the circumstnaces.”
Responses
No published response was found on judiciary.uk.