Rosemary Bronwyn Ferguson

1. 1. discharge without notification to social services

   “The social workers left work on Friday 8th March, 2013 believing that, following their recommendations, Ms [name redacted] would remain in hospital over the weekend and accordingly they did not put into place any support measures for her. The clinician's decision to discharge her before support measures could be put in place was not communicated to Social Services.”

2. 2. lack of supervision after discharge

   “2) The clinician discharged Ms [name redacted] based on clinical issues and NICE guidelines. She was discharged to the care of her friend The only conversation between the clinicians and was a telephone call in which it was arranged for Ms [name redacted] to be driven straight to his home on leaving hospital. This duly took place, but did not understand that the clinician expected him to remain in her company for at least the next 24 hours in order to watch for any significant changes in her condition and”

3. 3. inadequate documentation of discharge decision

   “The Hospital Notes were scanty and there appear to be material omissions to record important decisions such as a detailed note of the telephone call between and the clinician, properly timed and recording clearly what was intended. Further, it was difficult to trace from the Notes, the actual day of discharge, the clinician believing it to be the 8th March and believing it was the 9th March.”

No published response was found on judiciary.uk.