Nicolas Gerasimidis
30 Jan 2024 · Coroner Andrew Cox · Cornwall and the Isles of Scilly
This report repeats 5 earlier warnings. See the linked reports.
The coroner's concerns
1. screening out patients due to staffing issues
“When Mr [name redacted] was referred by his GP to the community mental health team, he was screened out, in part, due to challenging staffing issues”
2. lack of care coordination
“No care coordinator was appointed owing to a shortage of staff”
3. consultant vacancies
“The Trust had and continues to have vacancies at consultant level”
4. one year waiting list for CBT ERP
“Psychological treatment in the form of Cognitive Behavioural Therapy with Exposure Response Prevention had a waiting list of one year”
5. unavailable inpatient beds
“In May 2023, when it was felt Mr [name redacted] required an informal admission into hospital, no beds were available”
Linked reports
Closely relatedConfidence 0.85 · high
Earlier report
“My concern however is that had he needed admitting it is apparent no beds would have been available at Green Lane Hospital Devizes when an enquiry was made on 6 July 2014 by North Wiltshire Intensive Services.”
This report
“In May 2023, when it was felt Mr [name redacted] required an informal admission into hospital, no beds were available.”
Identical hazardConfidence 0.90 · high
Earlier report
“In August 2018 the deceased required inpatient treatment. There were no beds available and as a result he had further episodes of self-harm and suicide attempts.”
This report
“In May 2023, when it was felt Mr [name redacted] required an informal admission into hospital, no beds were available.”
Identical hazardConfidence 0.95 · high
Earlier report
“I am therefore concerned in relation to the overall bed capacity for those patients like [the deceased] seeking informal admission”
This report
“In May 2023, when it was felt Mr [name redacted] required an informal admission into hospital, no beds were available.”
Closely relatedConfidence 0.85 · high
Earlier report
“The inquest heard evidence that the backlogs for therapy were such that the waiting list at the time she was assessed as being appropriate for step 4 therapy had a two year wait time.”
This report
“Psychological treatment in the form of Cognitive Behavioural Therapy with Exposure Response Prevention had a waiting list of one year;”
Identical hazardConfidence 0.90 · high
Earlier report
“lack of beds with the hospital. In Mr [name redacted] case direct entry to a ward would have been in his best interests”
This report
“In May 2023, when it was felt Mr [name redacted] required an informal admission into hospital, no beds were available.”