Prevention of Future Deaths reports · 2016

Brenda Morris

Regulation 28 report to prevent future deaths, reference 2016-0065, written 19 Feb 2016. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report19 Feb 2016
Reference2016-0065
DeceasedBrenda Morris
CoronerMary Hassell
Coroner areaInner North London
CategoryHospital Death (Clinical Procedures and medical management) related deaths · Suicide (from 2015)
Organisation namedEast London NHS Foundation Trust
Sourcejudiciary.uk record · original PDF
Responses published1

The report

Text extracted from the PDF text layer. Reproduced verbatim, including the scan's own layout.

Regulation 28:  Prevention of Future Deaths report 

Brenda Elizabeth MORRIS (died 20.07.15) 

THIS REPORT IS BEING SENT TO: 

1. 

Medical Director 
East London NHS Foundation Trust 
Trust Headquarters 
9 Alie Street 
London  E1 8DE 

1 

CORONER 

I am:   Coroner ME Hassell 
           Senior Coroner  
           Inner North London 
           St Pancras Coroner’s Court 
           Camley Street 
           London  N1C 4PP 

2 

CORONER’S LEGAL POWERS 

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

3 

INVESTIGATION and INQUEST 

On 22 July 2015 I commenced an investigation into the death of Brenda 
Elizabeth Morris, aged 66 years. The investigation concluded at the end 
of  the  inquest  yesterday.    I  made  a  determination  of  suicide,  when  Ms 
Morris drowned herself in the bath at home. 

4 

CIRCUMSTANCES OF THE DEATH 

Approximately three weeks before she died, Ms Morris took an excess of 
Oramorph and was taken to hospital.  She then went to see her general 
practitioner,  who  was  extremely  concerned  and  arranged  for  immediate 
referral to  the mental health  services.    Ms  Morris  was  admitted to  Larch 
Lodge,  where  she  was  treated  as  an  informal  patient.    She  was  given 
weekend leave in mid July and again on Sunday, 19 July, the day before 
she died. 

1 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 5 

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.  Brenda  Morris  was  allowed  weekend  leave  on  the  basis  that  her 
partner was at home to keep an eye on her, but no member of staff 
told him this.  This was not a situation where she needed 24 hour 
supervision    Nevertheless,  it  would  have  been  helpful  for  him  to 
know  the  basis  for  the  leave,  because  he  would  then  have 
modified his own behaviour accordingly. 

2.  The  weekend  before  the  weekend  of  her  death,  Ms  Morris’s 
partner felt that she had not been well during the weekend leave.  I 
appreciate  that  care  must  be  taken  not  to  override  a  patient’s 
autonomy,  but  it  might  be  useful  for  staff  routinely  to  consider 
whether  they  are  able  to  obtain  feedback  from  family  members 
after such leave. 

3.  There appears to be  confusion about  whether a doctor is needed 
to authorise unplanned leave of an informal patient (not relevant in 
this  case  because  the  leave  had  already  been  authorised).    Your 
serious  incident  review  of  this  matter  indicates  that  this  is 
necessary, but I heard evidence that such medical authorisation is 
not routinely sought. 

4.  Substandard  documentation  in  the  nursing  records  had  already 
been identified before the inquest by your serious incident review.  
Without improvement in the records, it is not possible to determine 
whether  and  if  so  by  whom  a  necessary  risk  assessment  is 
undertaken, e.g. immediately before weekend leave is taken. 

6 

ACTION SHOULD BE TAKEN 

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

7 

YOUR RESPONSE 

You are under a duty to respond to this report within 56 days of the date 
of  this  report,  namely  by  16  May  2016.    I,  the  coroner,  may  extend  the 
period. 

2 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 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. 

8 

COPIES and PUBLICATION 

I have sent a copy of my report to the following. 

  HHJ Peter Thornton QC, the Chief Coroner of England & Wales 
 partner of Brenda Morris 
 

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 
interest.  You  may  make 
he  believes  may 
representations to me, the Senior Coroner, at the time of your response, 
about  the  release  or  the  publication  of  your  response  by  the  Chief 
Coroner. 

it  useful  or  of 

find 

9 

DATE                                                   SIGNED BY SENIOR CORONER 

19.02.16 

3

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 East London NHS Trust (PDF)
East London NHS

NHS Foundation Trust

Trust Headquarters.

9 Alie Street

London

E1 8DE

Telephone: 0207 655 4177
Fax: 0207 655 4076

13" May 2016

Senior Coroner M E Hassell
Inner North London

Poplar Coroner’s Court

127 Poplar High Street
London

E14 0AE

Dear Madam
Inquest touching upon the death of Brenda Morris

This is a formal response to your Regulation 28 Report dated 19" February in which you set
out your concerns relating to the care Ms Morris received from East London NHS
Foundation Trust.

Your concerns related to the provision of leave for informal patients. You were specifically
concerned at the lack of information provided to Ms Morris’ partner in relation to her home
leave and his role in facilitating that leave. You were also concerned that staff had not
engaged with Ms Morris’ partner on her return from leave to obtain feedback.

You also highlighted in your report that there appeared to be confusion over whether a
doctor was required to authorise unplanned leave for an informal patient. This concern
stemmed from the evidence given by the ward manager during the Inquest being in conflict
with that detailed in the Trust’s Serious Incident Review.

You also comment on the issue of substandard documentation in the nursing records, noting
that this had already been identified by the Trust prior to the Inquest, noting that without
improvement in the records it is not possible to determine whether and if so by whom a
necessary risk assessment is undertaken immediately before leave is taken.

| can confirm that the information contained in the Trust's Serious Incident Review is correct
in stating that a doctor is required to authorise unplanned leave for an informal patient.

| was concerned to hear the evidence of the ward manager that a doctor is not required to
authorise unplanned leave and that this is not routinely requested. Having heard the
evidence of the ward manager at the Inquest | investigated this issue on my return. | was
able to establish that the understanding of this particular ward manager was not in line with
the general understanding of our nursing staff.

Po Chief Executive: Dr Robert Dolan

However, in light of the importance of this issue the Trust has taken the decision to
implement the use of template documentation to ensure that any leave has been
appropriately agreed by a doctor. A new ‘informal patient leave agreement’ has been
developed. This document details the agreement of leave following assessment by a doctor.
The template includes a box detailing any leave conditions along with any expectations from
staff, patients, relatives and carers. A separate box deals with contingency plans. The
agreement is then signed by the doctor, the patient and the relative. This document is
expected to be in place before a patient goes on leave.

In addition to the above an ‘In-patient leave checklist for informal and detained patients’ has
been developed. It is also a requirement for this checklist to be completed for all leave. The
checklist requires staff to assess risk prior to any period of leave, discuss with family or
friends issues of risk and provide relatives/carers with a copy of an individualised
contingency care plan. On return from leave staff will need to confirm that they have
obtained feedback from family on the patient's return from leave. The detail of all
assessments and discussions will be fully documented on RIO.

When implementing these new templates it is of the utmost important that the Trust strikes
the right balance between appropriate risk assessment and ensuring that informal patients
are able to exercise their right to make decisions in respect of leave and that we work in line
with the views of the CQC that there should be no blanket restrictions on leave for informal
patients.

Both forms are currently being piloted on one of our Mental Health Care for Older Persons
wards with the aim of full introduction across all of our Older Persons wards by the end of
this month. Use of the forms and the corresponding RIO entries will be the subject to
quarterly audits starting from the end of July 2016 until January 2017 and will be subject to
further review thereafter if necessary.

{ fully anticipate that the implementation of these changes will ensure that all patients,
whether formal or informal, will be subject to appropriate assessment prior to any period of
leave and again on their return.

| hope that the actions taken by the Trust in response to your concerns will provide you with
the appropriate reassurance.

If you require any further information please do not hesitate to contact me.

Yours fajthfully

Dr Kevin Cleary
Medical Director

Po Chief Executive: Dr Robert Dolan

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