Kimberley Parsons
4 Mar 2015 · Coroner P Harrowing · Avon
The coroner's concerns
1. assisted self-harm in high-risk patient
“The suggestion made to Ms. [name redacted], a person with a history of self harming and who remained at high risk of self-harming, that she could be assisted with self- harming was not an approach to patient care and treatment which was supported by any reference to the results of any research published in a peer-reviewed professional journal. Therefore if this is a bona fide approach to treatment in a high risk patient then the Trust should be able to justify that this is a recognised and generally”
2. unrecorded discussion about assisted self-harm
“This discussion with regard to 'assisted self-harming' was not discussed by the nurse with the consultant psychiatrist nor was any record made of the discussion.”
Responses
2015-0077-Response-by-Avon-Wiltshire-NHS-Trust.pdf ↗· Avon and Wiltshire Mental Health Partnership NHS Trust
2015-0077-Response-by-Care-Quality-Commission.pdf ↗· Care Quality Commission
Stated action
“we did not provide a rating (we now rate organisations on a four point scale - outstanding, good, requires improvement and inadequate against these key areas)”
Parsons-2015-0077a.pdf ↗· Avon and Wiltshire Mental Health Partnership NHS Trust