Paige Bell
3 Mar 2015 · Coroner Derek Winter · Sunderland
The coroner's concerns
1. disconnected case notes
“The case notes were not held in one place and not all transferred with the patient”
2. inconsistent observation policy
“The Trust concerned is due to implement a new Engagement and Observation Policy”
3. lack of national policy
“be grateful to learn of any plans for a National policy/template to ensure consistency between Trusts”
4. outdated guidance
“Also are there any plans to update guidance on the treatment and management of patients with Borderline Personality Disorder”