John Wilsher
5 Aug 2014 · Coroner Jacqueline Lake · Norfolk
The coroner's concerns
1. inaccurate discharge letter
“The information contained in the NNUH Discharge Letter is inaccurate”
2. unsuitable care home placement
“Concerns were raised by the GP and a referral made to NCC Community Services on 25 November 2013 as to the suitability of the Care Home in providing care to Mr [name redacted] due to his deteriorating condition”
3. delayed assessment
“An assessment was carried out by NCC Community Services on 13 December 2013 by which time Mr [name redacted] had been admitted to NNUH and discharged and plans were already in place for his transfer to a nursing home”
4. missing nursing assessment outcome
“The outcome of the Nursing Assessment carried out on 10 December 2013 was not available at the time of the Community Services Assessment”
Responses
2014-0360-Response-by-Norfolk-County-Council.pdf ↗· Norfolk County Council
2014-0360-Response-by-Norfolk-Norwich-University-Hospitals-NHS.pdf ↗· Norfolk and Norwich University Hospital NHS Foundation Trust
Stated action · beginning of September
“The outcome of that work was presented to our Executive Board at the beginning of September and a series of steps are being put in place to ifmprove the accuracy of discharge information provided to GPs and community services.”