Maureen Jarvis
11 Sept 2019 · Coroner Andrew Haigh · Staffordshire South
The coroner's concerns
1. lack of proper medical examination for admitted psychiatric patients
“During her final admission to the George Bryan Centre Mrs [name redacted] did not have a proper medical examination by a doctor”
2. inadequate personal care for detained psychiatric patient
“The level of personal care [name redacted] received could have been improved”
3. inaccurate medical record keeping
“failure to keep correct and accurate records”
Responses
2019-0357-Response-by-Midland-Partnership-NHS-Trust.pdf ↗· Midlands Partnership NHS Foundation Trust
Stated action · due for review as part of the continuous improvement and ratification cycle
“In response we can confirm that a policy and Standard Operating Process (SOP) existed at the time of Mrs [name redacted] death. These outline the responsibilities and expectations of inpatient staff to undertake physical health investigations on admission and also the expectation in the circumstance of refusal to consent to continue to attempt during the z”