Prevention of Future Deaths reports · 2017

Sian Witheridge

Regulation 28 report to prevent future deaths, reference 2017-0305, written 23 Oct 2017. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report23 Oct 2017
Reference2017-0305
DeceasedSian Witheridge
CoronerMary Hassell
Coroner areaInner North London
CategoryHospital Death (Clinical Procedures and medical management) related deaths · Other related deaths
Organisation namedCamden and Islington 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 

Siân Louise WITHERIDGE (died 30.05.17) 

THIS REPORT IS BEING SENT TO: 

1.  Ms Wendy Wallace 
Chief Executive 
Camden & Islington NHS Foundation Trust (C&I) 
4th Floor, East Wing 
St Pancras Hospital  
4 St Pancras Way 
London  NW1 0PE  

2.  Mr John Gregory 
Chief Executive 
One Housing Group 
Crisis House 
18 Highbury Grove  
London  N5 2EA 

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 5 June 2017, I commenced an investigation into the death of  Siân 
Louise Witheridge,  aged  36  years.  The  investigation  concluded  at  the 
end  of  the  inquest  on  10  October  2017.    I  made  a  determination  at 
inquest of death by suicide. 

1 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 4 

CIRCUMSTANCES OF THE DEATH 

Ms Witheridge hanged herself at home on 30 May 2017.   

She had been detained in hospital under a section of the Mental Health 
Act on several occasions.  She then contacted the crisis team on 20 May, 
attended  an  emergency  unit  on  22  May  and,  at  her  crisis  team 
assessment on 24 May, reported staring at traffic for hours considering 
jumping into it.  She also told her care co-ordinator that she had a rope 
to use to hang herself. 

She  was  admitted  to  Highbury  Grove  Crisis  House  (operated  by 
OneHousing) on 25 May.   

She wanted to self discharge on Saturday the 27th but, having spoken to 
a member of the crisis team at some length, agreed to stay.  The plan 
was for the crisis team to visit each day, for her to have a session with 
Highbury Grove staff twice a day, and for her risk to self to be reviewed 
prior to any leave being granted.  She saw an advanced practitioner at 
crisis house on Monday, 29 May.     

She was planned for crisis team review next on 31 May, but on 30 May 
she left Crisis House in the morning and was found by police at her home 
that evening. 

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.  While  Ms  Witheridge  was  staying  in  Crisis  House,  her  mental 
health records were not available to the OneHousing staff there. 

2.  I was told that the written risk assessment provided to Highbury 
Grove Crisis House was not as detailed as it should have been.   

I was unable to make a judgement about this myself because no 
member of the treating teams or those advising them brought the 
records to court.   

(This  is  especially  disappointing  given  that  it  is  a  specific 
instruction  contained  within  every  witness  summons  that  was 
signed and returned.) 

2 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 3.  The  crisis  team  staff  (as  opposed  to  the  crisis  house  staff)  did 
have access to Ms Witheridge’s mental health records, but they 
did not read them any further back than the date of her first call to 
crisis  house  during  that  last  episode,  i.e.  25  May  2017,  despite 
her very extensive past medical history.   

There seemed a lack of recognition of the importance of the notes, 
particularly the older notes.  This may explain why no member of 
the team thought to bring the notes to court for the inquest. 

4.  One of the crisis team nurses made a plan for a risk assessment 

to be carried out before Ms Witheridge took any leave. 

However,  this  was  an  unenforceable  plan,  because  Highbury 
Grove is an open facility. 

If  the  crisis  team  nurse  had  considered  this,  he  might  have 
decided that Ms Witheridge in fact needed an assessment under 
the Mental Health Act when she sought to self discharge on  27 
May. 

5.  There  seemed  a  lack  of  understanding  by  the  staff  of  the 
difference between a patient answering positively that they have 
no suicide plan and a patient simply refusing to answer a question 
about a suicide plan.   

False reassurance appeared to have been drawn from the latter.  
No  arrangement  was  made  for  the  crisis  team  to  meet  Ms 
Witheridge on 30 May. 

6.  The care offered to service users of Highbury Grove Crisis House 
and  the  Islington  Crisis  Team  seemed  disjointed  and  not 
dovetailed  between  OneHousing  and  Camden  &  Islington  NHS 
Trust.   

For example, the crisis team members who gave evidence did not 
have  any  knowledge  of  the  crisis  house  procedure  for  risk 
assessing before allowing leave.   

I found it difficult to make further assessment of this because of 
the  lack  of  medical  records,  and  the  presentation  to  me  of  the 
serious incident investigation report only the day before inquest. 

6 

ACTION SHOULD BE TAKEN 

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

3 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 7 

YOUR RESPONSE 

You are under a duty to respond to this report within 56 days of the date 
of this report, namely by 18 December 2017.  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. 

8 

COPIES and PUBLICATION 

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

  HHJ Mark Lucraft QC, the Chief Coroner of England & Wales 
  Care Quality Commission for England  
 
 

, adult social care, Camden, Islington & Enfield  

, brother of Siân Witheridge 

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 Senior Coroner, at the time of your response, 
about  the  release  or  the  publication  of  your  response  by  the  Chief 
Coroner. 

9 

DATE                                                  SIGNED BY SENIOR CORONER 

23.10.17 

4

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 Respondent Not Named (PDF)
Coroner ME Hassell

Senior Coroner

Inner North London

St Pancras Coroner’s Court
Camley Street

LONDON N1C 4PP

Dear Madam

INHS|

| ;
Camden and Islington
NHS Foundation Trust

Executive office

4" Floor, East Wing
St Pancras Hospital
4 St Pancras Way
London NW1 OPE
Tel: 020 3317 7016
www.candi.nhs.uk

11" December 2017

Prevention of future deaths report — Sian Witheridge

| write further to your Regulation 28 Prevention of Future Deaths report dated 23
October 2017 in which you highlighted concerns about the care provided to Ms

Witheridge.

You have brought to our attention a number of concerns which | will address below.

1. While Ms Witheridge was staying in Highbury Grove Crisis House her mental
health records were not available to the OneHousing staff there.

We agree that Highbury Grove Crisis House staff should have access to our
clinical records. To this end, we have been working with One Housing to enable
members of their staff to acquire access to our IT system. We are aiming to
have shared access in place in early 2018 following staff completing the
relevant training and necessary checks.

2. You were told that the written risk assessment provided to Highbury
Grove Crisis House was not as detailed as it should have been.

We have reviewed our risk assessment and | have enclosed a copy for your
information. We are satisfied that it contains a comprehensive risk history and
that it includes sufficient detail about previous suicide attempts and risk factors.

This risk assessment would have been provided to Highbury Grove as Highbury
Grove does not accept referrals without first reading the risk assessment. As
above, going forward, Highbury Grove staff will be able to access our risk
assessments and obtain all the relevant information about a patient's previous
risk history and current risk factors.

Chair: Leisha Fullick
Chief Executive: Angela McNat

EScamden # ISLINGTON

Cal is an NHS
Camden an

Your partner in CRI
care & improvement

NHS}

We are also going to move to undertaking joint risk assessments which will be
completed by One Housing and C&l staff members. This will ensure that all risk
factors as identified by all the staff caring for the patient are taken into account
when formulating risk assessments and next steps. In cases where C&l staff
conduct the risk assessment themselves, the Operations Manager and Team
Manager for the crisis teams have reinforced to the teams the importance of
providing detailed feedback to One Housing staff and agreeing a written plan of
action for each patient.

We are sorry that we did not bring the medical records to the inquest. We will
ensure that we do so in the future.

. The Crisis Team Assistant Practitioner who saw Ms Witheridge on 29 May

2017 did not read any further back than the date of her first call to the
crisis house i.e. 25 May 2017 despite her very extensive past medical
history.

The Assistant Practitioner acknowledged at the inquest that she should have
read further back in the clinical records than she did. To ensure that the learning
from this case is embedded within the teams, the operational manager and
team manager of the crisis team have reinforced the importance of undertaking
a comprehensive review of the clinical records, including reading the risk
assessment, before seeing a patient. The practice of reading the history will be
checked in regular supervisions

. One of the Crisis Team nurses made a plan for a risk assessment to be

carried out before Ms Witheridge took any leave. However, this was
unenforceable because Highbury Grove is an open facility. If the crisis
team nurse had considered this he might have decided that Ms Witheridge
in fact needed an assessment under the Mental Health Act when she
sought to self-discharge on 27 May.

The nurse in question was unable to attend the inquest to explain his plan.
However, he was certainly aware that Highbury Grove is an open facility and
that Ms Witheridge could not have forcibly been prevented from leaving the
premises. The nurse's intention in asking Highbury Grove staff to check in with
Ms Witheridge before she took any leave was for them to obtain an impression
of her mental state and to make an assessment as to whether she was safe to
leave. If staff considered that Ms Witheridge was at immediate risk of self-harm
before leaving the premises then immediate action could have been taken such
as trying to persuade Ms Witheridge to stay or calling emergency services. As
such, whilst the nurse was aware that Ms Witheridge could not be detained at
Highbury Grove, he was ensuring that an additional check was undertaken
before she left the premises. This is not dissimilar to the assessment which
would take place with an informal patient before they leave a ward. We do not
consider that the nurse’s action in this instance was inappropriate. A mental
health assessment was an option that the crisis team was actively considering.
However, they did not consider it was needed when Ms Witheridge sought to
self-discharge on 27 May.

The Assistant Practitioner agreed with Ms Witheridge that she would write down
her thoughts on Paper and pass this on to Highbury Grove staff as she was
struggling to engage verbally with them. When the Assistant Practitioner

her team, she verbally fed back her concerns about Ms Witheridge’s
mental state to senior staff On shift. The plan which was agreed was for a

6. The care offered to service users of Highbury Grove Crisis House and the
Islington Crisis Team seemed disjointed and not dover tailed between
OneHousing and Camden & Islington NHS Trust.

We are aware that Highbury Grove has sent you our ‘Working Protocol’ setting
out how our teams work together. As set out earlier, we accept that there have
been challenges with information sharing. We are confident however that this
has been rectified and Highbury Grove and staff will in the future have ready
access to all the relevant clinical information.

We would like to assure you that we have good channels of communication with
Highbury Grove, and our senior operational staff meet with the Highbury Grove team

regularly to discuss how the service is working, and to identify whether there are

problems in particular areas.

Following this inquest we have also agreed to jointly investigate all deaths
connected to the Highbury Grove Crisis House to ensure that a holistic approach is
taken so that all service delivery problems are identified.

| hope that the information in this letter assures that you we have taken forward the

learning from this case, and our ongoing commitment and determination to keep all
our patients safe.

Yours sincerely u\

Angela McNab
Chief Executive

Enc: 1

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