Prevention of Future Deaths reports · 2016

Micael McMonigle

Regulation 28 report to prevent future deaths, reference 2016-0289, written 15 Aug 2016. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report15 Aug 2016
Reference2016-0289
DeceasedMicael McMonigle
CoronerCrispin Oliver
Coroner areaCounty Durham and Darlington
CategoryMental Health related deaths
Organisation namedEsk and Wear Valley NHS Foundation Trust
Sourcejudiciary.uk record · original PDF
Responses publishednone published

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
THIS REPORT IS BEING SENT TO:

1. | Head Legal Services and Claims, Tees, Esk and Wear Valley NHS
Foundation Trust, Central Resources, Lanchester Road Hospital,
Lanchester Road, Durham DH1 5RD

CORONER

!am Crispin Oliver Senior Assistant Coroner, for the Coroner area of County Durham
and Darlington

CORONER’S LEGAL POWERS

! 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.
(see attached sheet)

INVESTIGATION and INQUEST

On 17" August 2015 | commenced an investigation into the death of Michael Peter
McMonigle, (“Michael”) born 25" October 1969. The investigation concluded at the end
of the inquest on 8" August 2016. The conclusion of the inquest was Suicide,
contributed to by neglect. The jury stated made the following entries in Boxes 3 and 4 of
the Record of Inquest, including a narrative on key issues in Box 4:

Box 3:

Michael McMonigle was admitted at a voluntary patient to the Farnham Ward at
Lanchester Road Hospital on 5" August 2015. Michael was able to leave the hospital
unaccompanied on 11" August 2015, leading to his death on 11" in woodland at Trinity
School, Trout Lane, Lanchester, Co. Durham by suspension by ligature and was
declared dead at 07:35 hrs on 12" August 2015.

On the balance of probabilities the jury concluded that the admitted failure of not
updating the face risk assessment, PARIS case notes and intervention plan with the
assessment of risk of self-harm or suicide and the conditions for escorted leave made at
a formulation meeting on 10" August 2015 probably more than minimally or trivially
contributed to Michael's death.

The manner and extent that Michael’s family were informed of the assessment of risk
and the conditions for escorted leave following the formulation meeting on 10" August
probably more than minimally or trivially contributed to Michael’s death.

The manner in which the handover to his family was prepared for and conducted when
Michael left the ward on 11" August 2015 probably more than minimally or trivially
contributed to Michael's death.

Finally, the lapse of time between Michael leaving the hospital on 11'" August 2015 and
when it was recognised he might be a missing patient probably more than minimally or
trivially contributed to Michael's death.

Box 4:

In conclusion Michael's death was caused by suicide whilst the balance of his mind was
disturbed. His death was contributed to by neglect. Due to inadequate communication of
potentially significant information between Michael's family and staff members, Michael
was put at significant risk on 11". Trust leave policy was not fulfilled to a satisfactory
level and staff knowledge of policy, particularly from the Consultant Psychiatrist was
unsatisfactory. Whilst the jury thought that the policy was adequate, the failure of staff to
recognise and fulfil all aspects of the policy was severely lacking and probably more

than minimally or trivially directly contributed to Michael’s death.

Appendix 3 Missing Patient report completed after Michael was found to be missing the
jury held to be lacking in that not all initial actions deemed vital were fulfilled. They heal it
evident that there were several occasions prior to 22:00hrs where the alarm of Michael's
absence could have been raised particularly from 19:20 to 21:00 hrs.

| Finally the effect that business and staff pressure had on the leave and death of Michael

on 11" August was a contributing factor to Michael’s death of note, the lack of handover
to Michael's parents on 1" by the Acting Ward Manager which did not fulfil the Trust
policy best practice and was therefore insufficient.

a
4 | CIRCUMSTANCES OF THE DEATH j

Michael Peter McMonigle (“Michael”) was admitted between 237 June and 237 duly
2015 into Lanchester Road Hospital, Farnham Ward (an acute mental health ward) as
an informal patient. He was re-admitted on 5" August 2015 as an informal patient. Until
io" August 2015, formulation meeting, he was assessed as being suitable for
unescorted leave. At the formulation meeting on 10" September 2015 his risk of self-
harming was assessed as “significant” and the conclusion was that he should not have
leave off the ward unescorted. The conclusion of the formulation meeting was
documented in Michael’s PARIS case notes. Otherwise it was conveyed to nursing ward
by word of mouth at morning report out meetings and shift handovers. Such information
as was conveyed to Michael's parents from the formulation meeting was by the
Consultant Psychiatrist immediately afterwards in a brief informal meeting in an
adjacent room. Michael had not wanted his parents to attend the formulation meeting
itself. The evidence of Michael's mother was that the information was conveyed to her
by being present when the Consultant Psychiatrist said to Michael that he should not “go
| off the ward without your mum”. She said that the background reasoning and analysis as
| to risk levels were never conveyed to her. The following day, 11 August 2015, Michael

| left the ward with his mother. Ward staff were unable to confirm which of them had

| attended at the handover and let them out of the ward. The mother recalled thatitwas =|
the Acting Ward Manager. }
There was a policy in place,” Policy for Leave from Hospital and Leave of Absence

under Section 17 of the Mental Health Act 1983” (policy number CLINO025) pertaining to
informal patients. The evidence of the Consultant Psychiatrist was that there was no |
such policy. However, his evidence was contradicted by other ward staff and indeed the
production during the course of the inquest of the policy document. No formal
assessment was undertaken by ward staff of Michael's condition on handover. They did
confirm that he had interacted with staff during the course of the morning and appeared
to be in a comparatively positive state. Michael's mother concurred that there had been
no formal assessment at the handover, further that she did not receive a briefing as to
his heightened state of risk identified that the previous day's formulation meeting, or the
j reasons for leave to be accompanied. After a period of accompanied leave off ward in

| the hospital cafeteria and the car park and grounds of the hospital, Michael's parents left
Michael in the cafeteria of the hospital. Michael's mother gave evidence that had she
known of the heightened risk and if she had been properly briefed, she would never
have left Michael alone off ward. Her precise words were she would have “stuck to him
like glue”. Michael left the cafeteria and the hospital at some time after 14:30 hrs on 11"
August 2015. He did not return. Ward staff did not become concerned about his
whereabouts until, at the earliest, 22:00hrs. Ward staff in their evidence agreed that it
may have been available to conclude that there was a problem from 19:20 hrs which
was the evening shift handover time, and thereafter at 21:00hrs, the normal time for
returning from leave. A missing patient report states that it was from 22:00hrs on 11"
August that concern commenced as to Michael's whereabouts. Further that it was at
22:30hrs that staff contacted Michael's parents. It was Michael's mother's evidence that
they were actually contacted 23:15hrs. The evidence from ward staff was that a search
was not undertaken in the building and grounds of the available CCTV footage of the

reception, entrance, car park or other grounds. Michael was reported missing to the

Police at 23:55hrs, according to the evidence of the Police Officer. Michael was found on
12! August 2015, being suspended by a ligature, the call being made to paramedics at
that time. He was declared dead at the scene.

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) The lack of knowledge of the policy for leave for informal patients amongst ward staff
and the Consultant Psychiatrist in particular.

(2) The failure to follow the policy in terms of conducting an assessment prior to the
handover.

(3) The failure to apply the policy in terms of ensuring that leave arrangements are
clearly understood by the patient and communicated to relatives. See paragraphs 6.7
and 6.8, the policy of Leave from Hospital and Leave of Absence under Section 17
Mental Health Act 1973, policy no CLINO0025.

(4) The Face risk assessment, PARIS case notes and intervention plan were not
updated with assessment of risk of self-harm and suicide and details of conditions for
escorted leave following the formulation meeting on 10" August 2015. Instead, it fell to
staff to verbally convey this information to colleagues who had not attended at the
formulation meeting and to members of the family.

(5) Failure to respond to Michael's absence until well after 19:20 hrs, when it was
admitted by ward staff in evidence that interventions could have been commenced,
alternatively 21:00hrs when it was conceded that the alarm could have been raised
given that that was the normal time for return from leave.

(5) The response to Michael's absence did not conform with paragraphs 7.3 of the
Missing Patients Procedure, ref. CLIN-O0006-V4 in that there was no search of the
hospital internally, a search of the grounds, enquiry with other staff users, check of
CCTV footage.

(6) The following responses were undertaken after 19.20 and 21.00 when in conclusion
of the jury the alarm could have been raised: enquiry with friends or relatives from
22:30hrs at earliest, an attempt to telephone Michael from 22:40 hrs at earliest, contact
with relatives from 22:30 hrs at the earliest (Michael's mother said 23.15), Police at
23:45hrs at the earliest, other hospital staff at 00:15hr on 12" August at the earliest, the
medical staff at 12:20hrs at the earliest. Staff knowledge of the Leave policy and Missing
Patients Procedure was inadequate.

ACTION SHOULD BE TAKEN

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

YOUR RESPONSE

You are under a duty to respond to this report within 56 days of the date of this report,
namely by 10" October 2016.

|, 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.

e | COPIES and PUBLICATION

| Thave sent a copy of my report to the Chief Coroner.

| have also sent it to Y who may find it useful or of interest.

| 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.

sans LIL

CRISPIN A OLIVER M.A.
H M Assistant Coroner for
County Durham and Darlington

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