Shaun Houghton
25 Sept 2023 · Coroner Alan Walsh · Manchester West
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. self-discharge without medical review
“There are 5 separate units at Atherleigh Park Hospital and the current self-discharge against medical advice procedures or policies are uniform across all 5 units and do not involve a referral to a Consultant or Senior Doctor before the patient leaves the Hospital to check whether the patient should be considered for detention under the Mental health Act 1983.”
2. absence of checklist for self-discharge
“There is no check list in relation to self-discharge against medical advice patients for junior Doctors to refer to before the patient leaves the Hospital.”
3. lack of medication at discharge
“No medication was prescribed or dispensed to the Deceased at the time of self-discharge.”
Linked reports
Closely relatedConfidence 0.80 · moderate
Earlier report
“There was no clear evidence of consideration of discharge medication and risk around prescribing of medication post discharge from the EDU.”
This report
“No medication was prescribed or dispensed to the Deceased at the time of self-discharge.”