Prevention of Future Deaths reports · 2018

Henry Curtis-Williams

Regulation 28 report to prevent future deaths, reference 2018-0397, written 19 Dec 2018. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report19 Dec 2018
Reference2018-0397
DeceasedHenry Curtis-Williams
CoronerSean Cummings
Coroner areaWest London
CategoryHospital Death (Clinical Procedures and medical management) related deaths
Organisation namedNorfolk and Suffolk 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

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

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

THIS REPORT IS BEING SENT TO:

1. Chief Executive Norfolk and Suffolk NHS Foundation Trust

i CORONER

| am Dr Séan Cummings Assistant Coroner for the Coroner Area of London (Western
Area)

2 | 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.

3 | INVESTIGATION and INQUEST

On the 5'* July 2016 an Inquest was opened into the death of Henry Curtis-Williams. The
investigation concluded at the end of the inquest on the 7'* November 2018.The
conclusion of the inquest was (2) Hanging (4) Suicide

4 | CIRCUMSTANCES OF THE DEATH

Henry Curtis-Williams died from hanging at Acton Cemetery on the 17" May 2018. He
had been admitted to the Woodlands Unit on the 11"* May 2016 under police section 136
after he was found contemplating jumping off the Orwell Bridge in Ipswich. He was
transferred to nearby Southgate Ward after a mental health assessment. He was
discharged the next day without a Consultant review. He travelled to London where he
was attending University and was seen and comprehensively assessed by his GP. He
died sometime later.

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 could 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) That following admission to Southgate Ward Henry Curtis-Williams was
seen by a number of different staff members. It became evident that there
was a Culture of not recording contemporaneous notes. This was very
obvious with reference to recording presence or absence of suicidal
ideation.

There was an acceptance that patients could be discharged by very junior
doctors without prior reference to Consultant or Senior colleagues even
though Henry had been admitted after being assessed by 2 Section 12
approved doctors and an Approved Mental Health Professional who felt he
needed a prolonged inpatient stay.

(3) Communication between staff members was very informal with no record

S

kept of important messages relayed. For example, the member of staff who
held a one to one meeting with Henry was not present at the ward round
where Henry’s case was discussed but said she had verbally passed a
message to the ward round nurse. This was normal practice on this ward.
There was no record of the message, or of it being passed or that it was
considered at the ward round.

ACTION SHOULD BE TAKEN

In my opinion action should be taken to prevent future deaths and | believe you the
Chief Executive of Norfolk and Suffolk NHS Foundation Trust 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 12" February 2019. 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

| have sent a copy of my report to the Chief Coroner and to the following Interested
Persons (1) Henry’s mother and father,

lam 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 fne, the coroner, at the time of your
response, about the release or the publication of your response by the Chief Coroner.

19" December 2018 Dr Séan cu iming§ Assistant Coroner

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 Norfolk and Suffolk NHS Trust (PDF)
INHS)

Norfolk and Suffolk

NHS Foundation Trust

Our Ref. ML/AL LBHF CORONERS & MORTUARY Trust Management
Your Ref. : 18 Floor Admin
Hellesdon Hospital
Private and Confidential i FEB 2019 Drayton High Road
Dr Séan Cummings Hellesdon
Assistant Coroner . Norwich
Area of London (Western Area) s NR6 5BE
25 Bagleys Lane
Fulham 7 ;
SW6 20QA ; 8 February 2019

Dear Mr Cummings
Re: Mr Henry Curtis-Williams

I write in response to your report dated 19 December 2018. Under paragraph 7, Schedule 5, of the
Coroners and Justice Act 2009 and regulations 28 and 29 of the Coroners (Investigations) Regulations
2013 you requested the Trust consider issues of service delivery following the conclusion of the inquest
into the death of Mr Henry Curtis-Williams.

You raise a number of areas of concern which | respond to in order:
Recording of contemporaneous notes

You identified concern that there was a culture of not recording contemporaneous notes, most
obviously related to the recording of the presence or absence of suicidal ideation. | agree it is critical
that the service user’s health record demonstrates the care provided in meeting their individual need. In
Henry’s case, he had been admitted following a period of experiencing suicidal thoughts, with it
reasonable to expect these symptoms were checked during interactions, then to be followed up with the
details of discussion recorded in the health record.

The Trust's Health record policy provides guidance that entries should be made into the health record
as soon as possible from the time of the event. The policy further outlines the requirement of clinical
judgement to determine what information to record. To support staff, the Trust will be using Henry’s
case in the provision of learning via our patient safety newsletter and- through the range of practice
* education teams and staff receive. Linked to this, under the leadership of the Medical Director, the Trust
is commencing a programme of work to examine the barriers to using ‘clinical curiosity’ and develop the
skills and frameworks for staff to ensure this critical aspect of care is consistently applied.

Discharge

You identified concern that Henry was discharged by a junior doctor without prior reference to a
Consultant or senior colleague. Discharge from hospital can represent a period of uncertainty and risk
for the service user. Therefore, it is right to observe that such decisions must be made using members
of the multi-disciplinary team who have the required knowledge and skills to support a safe and
supportive discharge. Following receipt of your report the Trust has completed an audit to examine the
current practice applied. Reviewing eighty-two records, from discharges completed in August and
September 2018, the audit confirmed 96% had evidence within the health record that a senior doctor or
Consultant had been part of the decision of discharge. To strengthen this, the Medical Director has

2G, WA ‘ Chair: Marie Gabriel CBE, Chief Executive: Antek Lejk
See Working together Trust Headquarters: Hellesdon Hospital, Drayton High Road, Norwich NR6 5BE
X= for better Mental health Tet 01603 421421 Fax: 01603 421341 www nsft.nhs.uk

-ded learning to Consultant Psychiatrists and teaching will be provided to junior doctors as part of
their induction to the Trust.

Communication between staff

You observed that communication between staff was very informal with no record of important
messages relayed. You referenced that information did not reach the ward round.

Communication is a vital component in maintaining safe and effective care. The Trust uses systems
such as an electronic patient record to document patient care, as well as frameworks to handover
information (Situation, Background, Assessment, and Recommendation (SBAR)). However, this tragic
event highlights the human aspect of receiving information and ensuring it is fed into these
communication structures.

There is no current single evidence-based tool which can be implemented to eliminate this potential.
However, shared understanding amongst staff of the processes of receiving information is critical to
reduce variance. Following some recent learning, the Trust had issued an internal alert to all our
inpatient wards directing reflection on the points where information is received from differing sources eg
service users, families and carers and whether there is a shared process or understanding of how to
ensure that information is captured. Where there may not be a shared understanding the ward will work
to address this. Feedback from this alert is being received currently which will then be shared across
the wards to promote wider learning.

If | can be of any further assistance please do not hesitate to contact me.

Yours sincerely

a

Antek Lejk
Chief Executive

e ty Chair: Marie Gabriel CBE Chief Executive: Antek Lejk
Be Working together Trust Headquarters: Hellesdon Hospital, Drayton High Road, Norwich NR6 5BE
“\~ for better mental health — Tet: 01603 421421 Fax: 01603 421341) www.nsft.nhs.uk

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