John Howe
25 Jun 2024 · Coroner Lauren Costello · Manchester South
The coroner's concerns
1. discharge timing issues
“there has been a change in policy with regards to the timing of discharge of patients from Manchester Royal Infirmary in circumstances where a patient is unable to manage independently when they arrive home”
2. delayed and inaccurate incident reviews
“Completion of the Serious Incident Review was delayed, and the report contained factual inaccuracies”
Responses
2024-0339-Response-from-EMAS.pdf ↗· Manchester City Council
Stated action
“EMAS has subsequently contacted Manchester Royal Infirmary for a copy of the new policy, but this is not available to share at present. From previous learning EMAS do already contact the ward when a patient is going to be discharged into the evening to ensure that this is appropriate, as happened with this case. This will continue as a safeguard to patients until the policy is received from Manchester Royal Infirmary.”
2024-0339-Response-from-MCC.pdf ↗· Manchester University NHS Foundation Trust
Stated action
“we have put in place processes to ensure that this does not happen again.”
Stated action
“We are also reviewing our processes where a person is discharged from a Manchester hospital into an 'out of area' locality and if a safeguarding concern takes place on discharge”
Stated action
“We will also ensure that, in future, we will share with agencies who have been consulted so the information provided can be reviewed and checked for accuracy, before finalising the report”
Stated action
“we will share with agencies who have been consulted so the information provided can be reviewed and checked for accuracy, before finalising the report”
2024-0339-Response-from-MFT.pdf ↗· Manchester City Council
Stated action
“MFT intends to formally communicate this to the external transport providers that support in the discharges of our patients”