Trinder Birdi
25 Nov 2020 · Coroner Nadia Persaud · East London
The coroner's concerns
1. downgrading of suicide risk by unfamiliar staff
“The general practitioner who had known Ms [name redacted] over a number of years and had seen her for multiple mental health consultations had raised concerns with the A & E psychiatric team that Ms [name redacted] was at a high risk of suicide. The GP considered that Ms [name redacted] required an urgent psychiatric assessment and that Ms [name redacted] was at a high risk of taking a further overdose with a higher number of tablets. Following assessment, the same day, by a psychiatric liaison nurse who had never met the deceased before”
Responses
2020-0252-Response-from-North-East-London-Foundation-Trust-Redacted.pdf ↗· North East London Foundation Trust
Stated action
“A requirement will be introduced for a referral to the on-call psychiatrist to be completed where the presenting risk is significantly different to that of another clinician (including GP) who has reviewed the patient on the same day.”