Olayemi Kehinde
24 Apr 2024 · Coroner Graeme Irvine · East London
The coroner's concerns
1. lack of supervision of S.17 leave
“In July 2011, Mr [name redacted] was an inpatient subject to an order under S.3 Mental Health Act 1983. On 2nd July 2011, Mr [name redacted] was granted escorted S.17 leave to return home to collect belongings. Mr [name redacted] left the ward in the company of a mental health nurse and they both travelled to a tattoo parlour. Mr [name redacted] face was tattooed with a large permanent tattoo. No action was taken by the nurse to prevent this act occurring. The incident was not investigated as a serious incident by the Trust.”