Prevention of Future Deaths reports · 2015

Suzanne Greenwood

Regulation 28 report to prevent future deaths, reference 2015-0370, written 9 Oct 2015. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report9 Oct 2015
Reference2015-0370
DeceasedSuzanne Greenwood
CoronerAlan Walsh
Coroner areaManchester (West)
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Organisation namedGreater Manchester West Mental Health NHS Foundation Trust
Sourcejudiciary.uk record · original PDF
Responses published1

The report

Text recovered by OCR from a scanned PDF. OCR is imperfect: check anything you rely on against the source PDF. Reproduced verbatim, including the scan's own layout.

REGULATION 28: REPORT TO PREVENT FUTURE DEATHS (1)

NOTE: This form ts to be used after an inquest.

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

THIS REPORT IS BEING SENT TO:

1. Mr Trevor Torrington, Chief Executive, The Priory Hospital, Altrincham,
Rappax Road, Hale, Cheshire, WA15 ONX

Consultant Psychiatrist, The Priory Hospital,
* ‘Altrincham, Rappax Road, Hale, Cheshire, WA15 ONX

CORONER

I am Alan Peter Walsh, Area Coroner, for the Coroner Area of Manchester West

CORONER’S LEGAL POWERS

I make this report under paragraph 7, Schedule 5, of the Coroners and Justice
Act 2009 and regulations 28 and 29 of the Coroners (Investigations) Regulations
2013.

INVESTIGATION and INQUEST

On the 6" January 2015 I commenced an Investigation into the death of
Suzanne Samantha Greenwood, 43 years, born 14" August 1971. The
Investigation concluded at the end of the Inquest on the 8" October 2015.

The medical cause of death was 1a) Hanging

The conclusion of the inquest was open.

CIRCUMSTANCES OF THE DEATH

1. Suzanne Samantha Greenwood died at Haslam Park, Wigan Road, Bolton
on the 23 December 2014 when she was found in a collapsed and
unresponsive condition with a ligature around her neck and attached to
the branch of a tree. She had taken a substantial quantity of Zopiclone

and a quantity of alcohol prior to her death.

. Mrs Greenwood had received treatment from the Mental Health services
within the Greater Manchester West Mental Health NHS Foundation Trust

in 2002 following a referral from her General Practitioner and in 2005

after she attended the Royal Bolton Hospital Emergency Department.

. In October 2012 Mrs Greenwood self-referred to the Priory Hospital,
Altrincham, Rappax Road, Hale, Cheshire as a private patient and she
was seen b' Consultant Psychiatrist, on the 5"
October 2012. She informed that she had started to use

Zopiclone in 2005 for sleep problems and she had started to purchase

Zopiclone online by use of the internet in 2007.

Mrs Greenwood was diagnosed as suffering with mental and behavioural
disorders due to the use of sedatives and hypnotics (Zopiclone)
dependence syndrome and moderate depressive episodes. She was
admitted to the Priory Hospital, Altrincham on the 5" October 2012 and
she received treatment until she was discharged on 29" October 2012
with a plan for her to attend an aftercare programme at the Hospital.

4. Mrs Greenwood attended review appointments with IEEE at the
Priory Hospital, Altrincham from the time of her discharge until 21°
November 2013.

On the 31* October 2013 saw Mrs Greenwood in his
outpatient clinic and she reported that her mood had been quite low
over the previous 6 weeks and she had been tearful at times. She
reported that her sleep had not been good and that she had seen a
hypnotherapist to improve her sleep. [J increased her medication
and arranged to see her again on 21% November 2013.

On the 21* November 2013 EE saw Mrs Greenwood at the Priory
Hospital, Altrincham and he recorded that Mrs Greenwood had been alot
better during the previous week and that there had been an
improvement in her mood. [EE completed a mental state
examination and recorded that Mrs Greenwood’s general self-care was
good. She was alert her speech was normal. Her mood was euthymic
and she had no negative depressive cognitions. IEEE advised that
her medication should continue and he made arrangements to review
her in six weeks’ time. EEE sent a letter dated 22™ November 2013
to Mrs Greenwood’s General Practitioner to confirm the details of the
review on the 21% November 2013.

5. Mrs Greenwood was given an appointment with at The Priory
Hospital, Altrincham on 9" January 2014 but she cancelled her
appointment, which was rearranged for 16" January 2014 but she failed
to attend on that date. There was no further contact between
and Mrs Greenwood between January 2014 and the 23% December 2014
when Mrs Greenwood died.

6. MEBgave evidence at the Inquest that he had a Secretary at The
Priory Hospital, Altrincham who was employed by the Hospital. He
confirmed that he was a private Consultant Psychiatrist who worked at
The Priory Hospital, Altrincham and he was subject to the protocols and
policies of the Hospital.

He confirmed that, when a patient failed to attend an appointment, his
Secretary would usually make contact with the patient to rearrange the
appointment. However there was no evidence of any contact with Mrs
Greenwood, either by telephone or letter, after she failed to attend the
appointment on 16” January 2014 and he had not discharged Mrs
Greenwood from his care prior to her death on the 23 December 2014.

MRE confirmed that there had been no contact, either by telephone
or letter, with Mrs Greenwood’s General Practitioner to confirm that she
had failed to attend her appointments in January 2014 and the General
Practitioner had not been informed that Mrs Greenwood had not been
seen following her last appointment on the 21%* November 2013. In fact
the letter sent to the General Practitioner by INE dated 22™
November 2013 referred to a review on the 21% October 2013, which
was clearly an error due to the fact that the review had taken place on
the 21% November 2013.

7. GER gave evidence that he was not aware, either in his own
practice or in the Priory Hospital, Altrincham, that there were any
policies or protocols in relation to a system to apply when a patient
failed to attend an appointment. Furthermore there was no system in
relation to contact with a patient when the patient failed to attend an
appointment, either to arrange a further appointment or to consider
discharge of the patient for repeated failures to attend appointments,
and there we no systems in place to contact either General Practitioners
or other health professionals who may be continuing to treat a patient,

confirmed that there was no timescale with regard to contact
with a patient to rearrange a missed or cancelled appointment nor any
timescale with regard to the discharge of a patient when a patient had
repeatedly failed to attend appointments.

8. The evidence at the Inquest from the General Practitioner was that there
had been further appointments with the General Practitioner after
November 2013, including a change in the dose of medication initially
prescribed a without the General Practitioner being aware as
to whether was continuing to treat Mrs Greenwood. In fact the
evidence from an Advanced Nurse Practitioner at the Inquest confirmed
that Mrs Greenwood was seen by her in the General Practitioner's
surgery on the 20" November 2014 when the Advanced Nurse
Practitioner reduced Mrs Greenwood‘s medication and the Advanced
Nurse Practitioner was not aware that her treatment by | at the
Priory Hospital, Altrincham was still open and that she had not been
discharged. The appointment with the Advanced Nurse Practitioner on
the 20" November 2014 was almost 12 months after Mrs Greenwoods

last appointment with I on the 21% November 2013.

CORONER'S CONCERNS

During the course of the Inquest the evidence revealed matters giving rise to
concern. In my opinion there is a risk that future deaths will occur unless action
is taken. In the circumstances it is my statutory duty to report to you.

The MATTERS OF CONCERN are as follows:

1. During the Inquest evidence was heard that

i. Mrs Greenwood had not been seen by at The Priory
Hospital, Altrincham after her last review on the 21° November

2013 prior to her death on the 23 December 2014. She had |

failed to attend appointments in January 2014 but there had
been no contact with her, either by telephone or letter, following
her failure to attend the appointment on the 16” January 2014.

ii. Mrs Greenwood had not been discharged by IEEE following
her failure to attend her appointment on the 16" January 2014
and before her death on the 23 December 2014 but there had
been no contact with her for a period exceeding 11 months.

iti, [J had not made any contact with the General Practitioner
to confirm Mrs Greenwood’s failure to attend her appointments in
January 2014 and that she had not been seen after the 21*
November 2013, which is a particular concern when an Advanced
Nurse Practitioner reduced the medication initially prescribed by

which she had the authority to reduce, in

circumstances where [EE had not seen Mrs Greenwood
since the 21% November 2013.

iv. There are no systems, either in EB private practice or in
the Priory Hospital, Altrincham to contact patients following a
failure to attend appointments and to consider the discharge of
patients when a patient repeatedly fails to attend appointments
over a period of time. There are no timescales with regard to the
discharge of patients and no system to contact General
Practitioners or other health professionals in relation to the failure
to attend appointments, particularly in circumstances where
other health professionals are likely to continue to treat patients
after the missed appointments, including changes in medication.

The importance of discharge within a reasonable period after a
failure to attend appointments is important to enable other health
professionals involved in continuing care to be aware of the non-
attendance at appointments and the discharge. The fact that
there has been no reported failure to attend appointments and
no reported discharge would be misleading to other health
professionals involved in continuing care, particularly when a
patient has not been seen for a period in excess of 12 months
and that information would not be available to other health
professionals in the absence of information from the Hospital.

There is a need for health professionals involved in the
continuing care of a patient to be kept informed as to the
treatment or non-treatment of the patient at a Hospital when
considering further treatment in the community.

2. I request you to consider the above concerns and for both IEE and
The Priory Hospital, Altrincham to carry out a review with regard to the
following.

i, The systems procedures, policies and protocols in relation to

contact with patients who fail to attend appointments.

The systems, procedures, policies and protocols in relation to
patients who repeatedly fail to attend appointments and to
consider a final letter to the patient indicating that the patient will
be discharged unless there is either contact or an appointment
within a defined period.

ili. The systems, procedures, policies and protocols in relation to the
discharge of patients who repeatedly fail to attend appointments
with notification to General Practitioners or other health
professionals of the patient’s failure to attend appointments and
their discharge from hospital.

The review should consider timescales in relation to discharge
when a patient has failed to attend appointments for a specific
period of time.

iv. The evidence raised concerns that there is a risk that future
deaths will occur unless action is taken to review the above
issues.

ACTION SHOULD BE TAKEN

In my opinion urgent action should be taken to prevent future deaths and I
believe you and your organisation have the power to take such action.

YOUR RESPONSE

You are under a ay to respond to this report within 56 days of the date of this
report, namely by 4" December 2015. I, the coroner, may extend the period.

Your response must contain details of action taken or proposed to be taken,
setting out the timetable for action. Otherwise you must explain why no action
is proposed.

COPIES and PUBLICATION

I have sent a copy of my report to the Chief Coroner and to the following
Interested Persons:

1, HR rs Greenwood’s Husband

2. Express Solicitors, Solicitors for and on behalf of David Greenwood

3 HE Mrs Greenwood’s sister
4, EE, Mrs Greenwood’s Sister

5. , 4 Mrs Greenwood's Brother

I am also under a duty to send the Chief Coroner a copy of your response.

The Chief Coroner may publish either or both in a complete or redacted or
summary form. He may send a copy of this report to any person who he
believes may find it useful or of interest. You may make representations to me

the coroner, at the time of your response, about the release or the publication

| | of your response by the Chief Coroner.
a Dated Signed
9" October 2015 Mr Alan P Walsh

Responses

1 response published against this report on judiciary.uk. A response is a body's written reply to the coroner's concerns; publication is at the discretion of the Chief Coroner's office, so an absent response does not mean nobody replied.

Response from The Priory (PDF)
| n&CEIVED
04 DEC 2015

Ser 2S 20 22,

PRIORY

Director of Safety
Priory Group

Fifth floor

80 Hammersmith Road
London, W14 8UD

Tel. 020 7605 0
Email:

Your reference:

Wednesday 2 December 2015

Mr Alan P Walsh
HM Area Coroner
Manchester West
HM Coroner's Court
Paderborn House
Howell Croft North
Bolton, BL1 1QY

Private and confidential

Dear Mr Walsh
Re Suzanne Greenwood - Deceased

Thank you for your letter dated Monday 12 October 2015 in which you enclosed your report
to prevent future deaths under paragraph 7, schedule 5 of the Coroners and Justice Act
2009 and regulations 28_and_29 of the Coroners (Investigations) Regulations 2013. Your
letter was addressed to Manager Director Priory Group Healthcare
Division and Consultant Psychiatrist. It is upon their behalf and on behalf
of the Priory Group Healthcare Division that I reply.

You have asked that the following actions are taken:

1. You asked that a review is carried out of the systems, procedures, policies and protocols
in relation to contact with patients who fail to attend appointments.

Upon recej report we undertook a review of this matter. It is relevant in this
case lll a Consultant Psychiatrist with ‘Practising Privileges’ meaning that
he undertakes his work at Altrincham Hospital as an independent doctor seeing
outpatients whilst making use of the facilities at the hospital for example the consulting
rooms and IT equipment.

A policy is in place which outlines the expectations of those doctors who work in this
way: Policy H105: Practising Privileges for Independent Doctors.

The policy makes it clear that independent doctors should work in accordance with
General Medical Council requirements and relevant Priory Healthcare Division policies
and procedures. The policy states that a contract must be signed by the applicable
Hospital Medical Director and the particular doctor prior to that person commencing
work as an independent doctor.

The policy also notes that the independent doctor should avail themselves of supervision
and appraisal.

We have identified that there are policies in place which govern the admission, transfer
and discharge of patients. These policies give details of the requirement to communicate
in an effective and timely way with General Practitioners and others who may be
involved with the patient. As part of our review we identified that the requirement to
communicate in an effective and timely way with General Practitioners and others who
may be involved with the patient needed to be strengthened in Policy H105 which as I
have stated is the particular policy relevant to independent doctors

. You asked that a review is carried out of the systems , procedures, policies and protocols
in relation to patients who repeatedly fail to attend appointments and to consider a final
letter to the patient indicating that the patient will be discharged unless there is either
contact or an appointment made within a defined period;

and

. That a review is carried out of the systems, procedures, policies and protocols in relation
to the discharge of patients who repeatedly fail to attend appointments with notifications
to General Practitioners or other relevant health professionals of the patient's failure to
attend appointments and their discharge from hospital. The review should consider
timescales in relation to discharge when a patient has failed to attend appointments for
a specific period of time.

In response to 2 and 3 please note that we have given full consideration to these
matters and have now made the following requirements explicit in Policy H105:
Practising Privileges for Independent Doctors:

e That the independent doctor will complete a final letter to the patient in those
instances where there has been a repeated failure to attend appointments either
with or without notice having been given by the patient. The letter must be copied to
other relevant professionals involved in the patient's care for example the General
Practitioner. The letter should give detail of the patient’s medication,
recommendations for after care and identify the possible actions to be taken in the
event of the patient experiencing a crisis. The letter should also identify possible
options for the patient to pursue should they need more routine assistance in the
future and these options could include visiting their General Practitioner and/or re-
referring themselves to the independent doctor.

e That the independent doctor will complete and send a discharge letter to the General
Practitioner and other relevant professionals after the final contact with the patient in
those instances where the patient has failed to attend appointments. The letter
should give detail of the patient’s medication, the recommendations for after care
and as with the first bullet point above identify possible actions to be taken by the
General Practitioner should the patient experience a future crisis. The letter should
be copied to the patient. Prompt telephone contact should be made with the General
Practitioner in those instances where there are deeper concerns about the patient.

We have taken the following actions in relation to giving advice to our independent doctors

about the requirements and the adjustments outlined above:

1. The amended Policy H105: Practising Privileges for Independent Doctors has been
circulated electronically across the Healthcare Division with voting buttons to
acknowledge receipt.

2. Our group Medical Director has notified Hospital Medical Directors of this
requirement and has asked that the discharge of patients is routinely discussed during
supervision and appraisal with Independent Doctors.

3. The improvements made in response to your report will be included in the forthcoming
Learning Lessons Bulletin which will be circulated in early 2016.

4. The amendments to the policy and the background to those amendments will be raised
at the Medical Directors Meeting to be held on Tuesday 26 January 2016.

I hope that you will be assured of the actions taken in respect of this matter.
Please do not hesitate to contact me if I can be if further assistance.

Yours sincerely

Director of Safety

aS
PRIORY

| 10 DEC 2015

3 Sete Se mm tn me om oe xe 2 Bt 22 Ty

Your reference: APW/CAH/3821-2014
Tuesday 8 December 2015

Mr Alan P Walsh
HM Area Coroner
Manchester West
HM Coroner's Court
Paderborn House
Howell Croft North
Bolton

BL1 1QY

Private and Confidential
Dear Mr Walsh
Re Suzanne Greenwood - Deceased

Thank you for your letter dated Monday 12 October 2015; | have reflected on this matter and
discussed it with my peer group.

In light of your report to prevent future deaths under paragraph 7, schedule 5 of the Coroners and
Justice Act 2009 and regulations 28 and 29 of the Coroners (Investigations) Regulations 2013, | have
worked with Priory Group Management and wider improvements have been made to ensure that
lessons are learnt so that similar incidents do not happen again.

Moving forward, | will ensure that for all of my patients, after their initial consultation (following first
referral or discharge from in-patient), if they do not attend their next appointment, they will be
given a further appointment. A copy of this letter will also be sent to their GP. Should they fail to
attend a further letter will be sent to the patient and their GP.

If there are concerns about the patient then telephone contact will be made and a follow up letter
sent as required. The GP will be given further instructions regarding what to do in terms of
medication/further management and advised, if appropriate, to refer the patient to NHS secondary
services.

The GP will also be given the option to re-refer the patient in future should this be necessary.

| hope this meets your approval.

Yours sincerely

The Priory Hospital Altrincham, Rappax Road, Hale, Cheshire, WA15 ONX
Tel: 6161 904 0050 Fax: 0161 980 4322 Email: altrincham@priorygroup.com www.priorygroup.com
Priory Healthcare Limited trading as the Priory Hospital Altrincham. Registered Office: Fifth Floor, 80 Hammersmith Road, London, W14 8UD.
Registered in England No. 6244860. Part of the Priory Group of Companies.

PG00063/July13

PRIORY

GROUP OF COMPANIES

Your reference: APW/CAH/3821-2014
Wednesday 9 December 2015

Mr Alan P Walsh
HM Area Coroner
Manchester West
HM Coroner's Court
Paderborn House
Howell Croft North
Bolton, BL1 1QY

Private and confidential

Dear Mr Walsh
Re Suzanne Greenwood - Deceased

Thank you for your letter dated Monday 12 October 2015 in which you enclosed your report
to prevent future deaths under paragraph 7, schedule 5 of the Coroners and Justice Act
2009 and regulations 28 and 29 of the Coroners (Investigations) Regulations 2013. Your
report was directed to PY Consultant Psychiatrist and myself.

I am aware that BBB Director of Safety has provided you with a response on
behalf of the company however you have specified that you would like to receive an
individual response from both J and myself.

You have asked that a review is carried out of the systems, procedures, policies and
protocols in relation to contact with patients who fail to attend appointments.

Upon receipt of your report I asked that a review was undertaken of this matter.

Please note that is one of our Consultant Psychiatrists with ‘Practising Privileges’.
This means that he undertakes his work at Altrincham Hospital as an independent doctor
seeing outpatients whilst making use of the facilities at the hospital for example the
consulting rooms and the IT systems and equipment.

Policy H105: Practising Privileges for Independent Doctors is clear that independent doctors
should work in accordance with General Medical Council requirements and relevant Priory
Heaithcare Division policies and procedures. This includes participating in regular supervision
and appraisal. The policy also states that a contract must be signed by the applicable
Hospital Medical Director and the particular doctor prior to that person commencing work as
an independent doctor.

As part of our review we identified that the requirement to communicate in an effective and
timely way with General Practitioners and others who may be involved with the patient
needed to be strengthened in Policy H105.

Priory Group, Fifth Floor, 80 Hammersmith Road, London, W14 8UD
Tel: 020 7605 0910 Fax: 020 7605 0911 info@priorygroup.com www.priorygroup.com
Priory Group No. 1 Limited trading as the Priory Group, Registered Office: Fifth Floor, 80 Hammersmith Road, London, W14 8UD.
Registered in England No, 07480152. Part of the Priory Group of Companies.

PG01381/Oct13

You asked that a review is carried out of the systems, procedures, policies and protocols in
relation to patients who repeatedly fail to attend appointments and to consider a final letter
to the patient indicating that with notifications to General Practitioners or other relevant
health professionals of the patient’s failure to attend appointments and their discharge from
hospital the patient will be discharged unless there is either contact or an appointment made
within a defined period. You also asked that a review is carried out of the systems,
procedures, policies and protocols in relation to the discharge of patients who repeatedly fail
to attend appointments. You asked that the review should consider timescales in relation to
discharge when a patient has failed to attend appointments for a specific period of time.

Please note that we have given our full consideration to these matters and have now made
it clear in Policy H105: Practising Privileges for Independent Doctors that the independent
doctor must complete a final letter to the patient where there has been a repeated failure to
attend appointments either with or without notice having been given by the patient. We
have specified that the letter must be copied to other professionals involved in the patient’s
care for example the General Practitioner. The letter must give detail of the patient’s
medication, recommendations for after care and outline the actions to be taken in the event
of the patient experiencing a crisis in the future. The letter should also identify possible
options for the patient to pursue should they need more routine assistance in the future and
these options could include visiting their General Practitioner and/or re-referring themselves
to the independent doctor. In the amended policy we have also identified that the
independent doctor should make prompt telephone contact with the General Practitioner in
those instances where there are particular concerns about the patient in those instances
where the patient has failed to attend appointments. The independent doctor should also as
a minimum complete and send a discharge letter to the General Practitioner and other
relevant professionals after the final contact with the patient. The letter must provide detail
of the patient’s medication, the recommendations for aftercare and identify possible actions
to be taken by the General Practitioner should the patient experience a future crisis. The
letter should be copied to the patient.

A number of actions have been taken in relation to giving advice to the independent doctors

about the requirements and the adjustments outlined above:

1. The amended Policy H105: Practising Privileges for Independent Doctors has been
circulated electronically across the Healthcare Division.

2. The group Medical Director has notified Hospital Medical Directors of this
requirement and has asked that the discharge of patients is routinely discussed during
supervision and appraisal with Independent Doctors.

3. The improvements made in response to your report will be included in the forthcoming
Learning Lessons Bulletin which will be circulated in early 2016.

4. The amendments to the policy and the background to those amendments will be raised
at the Medical Directors Meeting to be held in January 2016.

T hope that you will be assured of the actions taken in respect of this matter.
Please do not hesitate to contact me if I can be if further assistance.
Yours sincerely

ABEL,

Trevor Torrington
Chief Executive Officer, Priory Healthcare

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