Janet Muller
4 Jul 2017 · Coroner Penelope Schofield · West Sussex
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. incomplete nursing records
“Nursing records, handovers, risk assessments and care plans were often incomplete, insufficient and at times contradictory”
2. patient absconding
“Patients detained under the Mental Health Act 1983 being able to abscond”
3. inadequate staffing
“Staffing Levels - The Jury identified that at times the level of staffing was inadequate”
Linked reports
Closely relatedConfidence 0.90 · high
Earlier report
“The creation of Care Plan, Risk Assessment and other admission | documentation (2) The amending and updating of these plans”
This report
“Nursing records, handovers, risk assessments and care plans were often incomplete, insufficient and at times contradictory.”
Responses
Janet-Muller-Response.pdf ↗· Sussex Partnership NHS Trust
Stated action · 6-month trial basis
“the Trust announced that it is planning to cease PEG insertion at the QVH site, initially on a 6-month trial basis, in order to consider the impact on patients.”