Rebecca Jones
8 Oct 2015 · Coroner Edward Thomas · Hertfordshire
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. window opening beyond 100mm restriction
“window restrictors may be inadequate in preventing a determined effort to force a window open beyond the 100mm restriction”
Linked reports
Identical hazardConfidence 0.90 · high
This report
“window restrictors may be inadequate in preventing a determined effort to force a window open beyond the 100mm restriction”
Later report
“window restrictors tested to current British Standards may be inadequate in preventing a determined effort to force a window open beyond 100mm”
Responses
2015-0504-Response-by-Department-of-Health.pdf ↗· Department of Health and Social Care
Stated action · 2016/17
“NHS England is spending £15m in 2016/17 to boost provision in those areas that need it most. This will include improving standards in existing places of safety to ensure that they are equipped to care for people safely and compassionately when detained under the Mental Health Act”