Rebecca Pykett
17 Jul 2021 · Coroner Emma Serrano · Stoke-on-Trent & North Staffordshire Coroner's Court
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. lack of allocated Care Co-Ordinator
“each patient who is under the care of the CMHT should be allocated a Care Co-Ordinator”
Linked reports
Closely relatedConfidence 0.86 · high
This report
“The allocation of the Care Co-Ordinator was of concern as there was no system to ensure that a Care Co-Ordinator was actually being allocated into this role.”
Later report
“Evidence emerged during the inquest that Mrs [name redacted] was allocated a Community Psychiatric Nurse, and key worker in November 2024 but had not received any appointments to the date of her death on the 11 March 2025.”
Responses
2021-0264-Response-from-North-Staffordshire-Combined-Healthcare_Published.pdf ↗· North Staffordshire Combined Healthcare NHS trust
Stated action · October 31st 2021
“The revised Trust Care Management Policy provides expectation in terms of the timeframes required for allocation, assessment, care planning and review (see appendix 1). Training for all Care Co-ordinators has taken place to ensure that staff are aware of the full requirements of their role. Assurance that this process is followed is monitored through the weekly review of compliance reports, overseen by Team Leaders. This data is further reviewed at Service Manager and Associate Director Level”