Prevention of Future Deaths reports · 2019

Christopher Seal

Regulation 28 report to prevent future deaths, reference 2019-0013, written 10 Jan 2019. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report10 Jan 2019
Reference2019-0013
DeceasedChristopher Seal
CoronerMaria Voisin
Coroner areaAvon
CategoryCommunity health care · Mental Health related deaths
Organisation namedAvon and Wiltshire Mental Health Partnership NHS 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.

M. E. Voisin
Her Majesty’s Senior Coroner
Area of Avon

10th January 2019 REF: 8714

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

THIS REPORT IS BEING SENT TO:

Chief Executive
Avon & Wiltshire Mental Health Partnership NHS Trust

1 CORONER

lam Maria Eileen Voisin Senior Coroner for the Area of Avon

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 03/01/2018 | commenced an investigation into the death of Christopher Michael SEAL. The
investigation concluded at the end of the inquest. The conclusion of the inquest was Christopher Seal
died on 30th November 2017 at the playing fields, Bath Spa University, Newton St Loe, Bath. He had
placed a rope around his neck and was found suspended from the rugby posts, he had intended to take
his own life.

4 CIRCUMSTANCES OF THE DEATH

the mental health team. On 26" and 27" November Chris had been assessed as high risk and the plan
was to assess him in the community as he indicated he was willing to engage. On 27" and 28" November
he failed to respond to calls and disengaged from the service. On 29" November he cut his wrist and was
assessed as high risk again by the mental health liaison team at the hospital and the plan remained the
same, there was an underestimation of his condition at this assessment. Chris failed to be at home for
the assessment immediately following his discharge. A welfare call to the police was made but the
important information from the police following the welfare check was not relayed to the team or
recorded in the records as it should have been. The cold call to Chris’s property on 30" November
resulted in the only action of leaving a letter with another appaintment; there was no escalation as
suggested in the “no response and police welfare check requests procedure” which is only a guide for
patients in primary care as no policy exists. Finally there was no contact made with the family during 29"
or 30" due toa poorly completed information sharing form.

Chris’s death was due to suicide. However in the 5 days leading up to his death he was under the care of

Telephone 01275 461920
Email AvonCoronersTeam @bristol.gcsx.gov.uk Website www.avon-coroner.com
The Coroner's Court, Old Weston Road, Flax Bourton, BS48 1UL

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 information sharing form — in this case it was not explicit as to whom information could be
shared with hence the family were not informed or contacted; is there an issue with the form itself
to make this clearer for clinicians to be more explicit or is there a training issue for the staff involved
with completing this form?

2. On the RIO records system I was advised that it put the first information sharing form as the most

recent when it wasn’t, in this case there was a more recent form, this misled the staff, although both,

forms were clearly completed and on the RIO system — is this a technical matter with IT or is this a
training matter for the staff using the system?

3. There were no next of kin details recorded on RIO —! was told that you use The National Spine to
automatically populate this information however the next of kin details were on the hospital records
for the A&E attendance and | was told that they use The National Spine. Is this system being used
properly?

4. The demographics page in RIO — in this case it was incomplete and | was told it often is — is this
training issue for the staff or again a technical matter with the RIO system?

5. | was told that there is no “no response policy” for those in primary care; that the policy which exists
is for secondary or tertiary care and is therefore not applicable to the service users or staff in
primary care. This would also raise the question of training

6. | was told that there is no “welfare check policy” for those in primary care; that the policy which
exists is for secondary or tertiary care and is therefore not applicable to the service users or staff in
primary care. | was told that Avon and Somerset Constabulary are in the process of writing a
“welfare check policy” and it may be beneficial for there to be liaison with the police forces in the
AWP area to ensure that any new policy that you consider is appropriate is in line with their

expectations as to what a police officer can and will do following such a call. This would also raise the

question of training.

7. RIO entries generally — | was told that there is an expectation that staff are expected to make their
entry onto the RIO system within either 72 hrs. or 24hrs. Is this in line with what professional bodies
expect and should it be?

8. The intensive service switchboard — is there an issue in relation to the training of staff and their
ability to react to protecting life? | was told they do not have ability to call 999 but that they advise
the service user to make the call, is that appropriate?

9. Contact with service user —| was told that the preferred method is verbal contact and the only other
means is a text message with this being care planned. In this changing world of communication
should other care planned options be considered such as email or messaging?

Telephone 01275 461920
Email AvonCoronersTeam @bristol.gcsx.gov.uk Website www.avon-coroner.com
The Coroner's Court, Old Weston Road, Flax Bourton, BS48 1UL

ACTION SHOULD BE TAKEN

In my opinion action should be taken to prevent future deaths and | believe you 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 a

March 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:

a. father of deceased
HB — mother of deceased

Royal United Hospital, Bath
1am 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.

10/01/2019

Signature _—

M a ior Coroner Area of Avon

Telephone 01275 461920
Email AvonCoronersTeam @bristol.gcsx.gov.uk Website www.avon-coroner.com
The Coroner's Court, Old Weston Road, Flax Bourton, BS48 1UL

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 Avon and Wiltshire Mental Health NHS Trust (PDF)
Ms M. E. Voisin, 
Senior Coroner, Area of Avon 
Avon Coroner’s Court, 
Old Weston Road, 
Flax Bourton, 
Avon, 
BS48 1UL 

Date: 6 March 2019 
Reference: 8714 

Dear Ms Voisin, 

Bath NHS House 
Newbridge Hill 
Bath 
BA1 3QE 
Tel 
Email 

I am writing in response to the Regulation 28 Prevention of Future Deaths report received in 
connection with the death of Mr Christopher Michael Seal. I welcome the opportunity to respond 
to the issues you have raised and improve the safety of our services for patients and families. 
I will respond to each of the issues in turn. 

The information sharing form  

Immediate action has been taken regarding the current ‘Consent to Share’ form in use across 
the Trust. This has been discussed at local Quality and Standards meeting and  the Learning 
from  Experience  Forum,  where  key  learning  from  the  untimely  death  of  Mr  Seal  has  been 
shared and disseminated. It has been emphasised that all staff need to record explicit consent, 
i.e. stating what information can be shared, with whom and what their contact details are. The 
Trust recognises that the consent to share information form could and should be clearer, as 
could  the  staff  guidance.  In  light  of  the  General  Data  Protection  Regulation  (GDPR),  the 
Governance  Team  are  now  reviewing  the  Trust’s  consent  to  share  information  procedures. 
Once they have ensured that the framework is compliant with GDPR, we then will proceed with 
making the recording and retrieval of consent to share is in place and the clinical processes, 
supporting  guidance,  recording  processes  and  information  presentation  will  be  improved, 
aligned  and  communicated  by  the  end  of  June  2019.  We  are  also  working  with  the  Senior 
Practitioner for Family Interventions to provide staff training regarding involving relatives and 
carers, including working with service users who might initially be reluctant to allow this but may 
change their views over time. Furthermore, the Trust is engaged with year long improvement 
programme  with  ‘Making  Families  Count’  initiative,  set  up  by  NHS  England,  collaborating  to 
improve  families’  involvement  in  mental  health  services  and  ensure  that  learning  from  their 
experience is used to improve services and reduce avoidable harm. This family led group has 
delivered two sessions to Trust staff already, the most recent in February 2019. 

Chair 
Charlotte Hitchings  

Trust Headquarters 
Bath NHS House, Newbridge Hill, Bath BA1 3QE  

Chief Executive 
 Dr Hayley Richards  

__________________________________________________________________________
_____ 

'We are a teaching, learning and research trust; we aim to inform you about relevant opportunities, 
unless you tell us otherwise.'  

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 Date of amended information entered onto RiO records system  

The Trust recognises the confusion this caused staff and indeed the Court and we welcome the 
fact  that  this  has  been  highlighted  for  improvement.  The  training  and  guidance  for  staff  has 
consequently  been  amended.  The  RiO  clinical  support  now  states  that  it  is  acceptable  to 
either edit the most recent RiO form, or to create a new form. It is not acceptable to edit forms 
other than the most recent. This has been disseminated to clinical staff through team meetings 
and is being circulated to staff via an internal ‘Red Top Alert’.  

Next of Kin details recorded on RiO and link to National Spine  

This issue has helped us identify that we need to improve the way we synchronise our mental 
health records at the Trust in order to connect with the National Spine. When we first register a 
service user, the electronic patient records system, RiO, synchronises with the National Spine. 
Each  time  the  record  is  accessed  following  this,  RiO  checks  with  the  National  Spine  and  if 
differences are noted, the user is asked to accept or reject changes. If a response is not given, 
this means that anomalies are not resolved or information is incomplete. 

The  Trust  is  working  to  find  a  technical  solution  to  create  a  work  list  of  records  that  require 
synchronisation  in  order  that  administrative  staff  might  be  able  to  complete  this  task  and 
improve compliance (target completion date 31 August 2019). There is a secondary issue that 
where there is no Next of Kin recorded, the absence of this is not evident. There is presently a 
development request to place an indicator on the front screen of the record showing the Next 
of Kin/In Case of Emergency contact, or the absence of that record in red, in order to make this 
more obvious to the clinician/user (target completion date 31 July 2019). 

The demographics page on RiO  

Staff have been reminded what the minimum information requirement is, and that this includes 
completion  of  the  demographics  page.  A  random  selection  of  patient  records  are  audited 
monthly and team managers have been made aware that completed demographic information 
is a requirement for all staff. 

Lack of “No Response policy” for those in primary care. 

The ‘No Response’ Policy is applicable to secondary and tertiary care. The policy states that 
for patients in primary care, the GP is informed of the lack of response to a planned visit. A 
planned visit is taken to mean planned and agreed between the staff member and the service 
user.  Discussions  have  been  held  with  the  GP  Mental  Health  Lead  who  has  reinforced  the 
expectation  that  the  need  to  inform  that  GPs  will  be  based  on  clinical  judgement  of  staff 
involved.  The  expectation  is  that  AWP  would  assess  the  risk  based  on  all  the  available 
evidence, and alert the GP where appropriate, i.e. when risk or likely risk is increased. 

No “welfare check policy” for those in primary care 

AWP  have  contacted  Avon  and  Somerset  Police  to  request  close  liaison  and  joint  working 
regarding their ‘Welfare Check Policy’ to ensure understanding and expectations are aligned. 
The local representative for the Avon & Somerset Crisis Concordat will maintain close follow 

Chair 
Charlotte Hitchings  

Trust Headquarters 
Bath NHS House, Newbridge Hill, Bath BA1 3QE  

Chief Executive 
 Dr Hayley Richards  

__________________________________________________________________________
_____ 

'We are a teaching, learning and research trust; we aim to inform you about relevant opportunities, 
unless you tell us otherwise.'  

 
 
 
 
 
 
 
 
 
 
 
 
 up on this at these meetings or directly with the Police Mental Health Liaison Officer. In addition, 
the police are holding a conference in March 2019 with the theme “What information we should 
be sharing relating to a person’s mental health concerns and, how/with whom to best manage 
risk?" They are looking at exploring: 

  What is the scale of the demand/risk at the moment – for police and partners? What 
are  the  risks  to  the  lack  of  communication  of  these  concerns  from  one  agency  to 
another? 

  What information should be gathered/shared by the police - how and with who?  
  What are the consent considerations?  
  How are a patient’s care and support needs best identified and addressed? 

AWP  BaNES  will  engage  with  this  forum  and  we  welcome  the  opportunity  for  further  joint 
working.  

Timeliness of RiO entries 

AWP’s guidance is that for Inpatient, Intensive and Outpatient records should be completed in 
real time – in practice, this may mean by the end of the shift, hence up to 24 hours. For the 
community services the recording period may increase to 72 hours in some circumstances. It 
is  expected  that  a  consideration  of  risk  would  inform  any  decision  to  delay  writing  entries. 
Guidance for staff is located on the Trust intranet and is attached as Appendix 1 below. 

Trust guidance is in line with what professional bodies expect of their staff.  

  NMC Code of Conduct, states:  

“10.1  complete  all  records  at  the  time  or  as  soon  as  possible  after  an  event,                          
recording if the notes are written some time after the event.”  
  HCPC Standards of Conduct, Performance and Ethics state  

“10.2  You  must  complete  all  records  promptly  and  as  soon  as  possible  after 
providing care, treatment or other services.” 

  College of OT Code of Ethics and Professional Conduct states:  

“2.6.1  You  must  accurately  and  legibly  record  all  information  related  to  your 
involvement with the service user, as soon as practically possible after the activity, 
in line with the standards of the Health and Care Professions Council, the College 
of  Occupational Therapists  and  local policy.  Any  record  must  be  clearly  dated, 
timed and attributable to the person making the entry.” 

  British Association for Social Work and Social Workers states: 

“11.  Maintaining  clear  and  accurate  records:  Social  workers  should  maintain 
clear,  impartial  and  accurate  records  and  provision  of  evidence  to  support 
professional judgements. They should record only relevant matters and specify 
the source of information.” 

The intensive service switchboard and their ability to react to protecting life  

I apologise that the evidence given by Ms Spaull indicated that the AWP switchboard does not 
have the ability to call 999 in an emergency but advise the service user to make the call; this is 

Chair 
Charlotte Hitchings  

Trust Headquarters 
Bath NHS House, Newbridge Hill, Bath BA1 3QE  

Chief Executive 
 Dr Hayley Richards  

__________________________________________________________________________
_____ 

'We are a teaching, learning and research trust; we aim to inform you about relevant opportunities, 
unless you tell us otherwise.'  

 
 
 
 
 
 
 incorrect. The switchboard can and do call 999, as appropriate, when an emergency situation 
requires this.   

Methods of contact with service user  

AWP  has  local  procedures  for  text  access  for  people  who  are  deaf  or  hard  of  hearing.  It  is 
recognised that some service users, regardless of disability, may prefer forms of communication 
other than phone calls. Where this is indicated an Individualised approach to communication 
with  the  service  users  will  be  considered  and  planned.  However,  e-mail  or  texting  high  risk 
information is not always suitable as information can be missed or there can be technical risks. 
The Trust has ensured that all staff are aware of the individualised communication options and 
that they are suitably able to have appropriate conversations with service users about the risks 
of various communication methods 

The Trust policy is that only NHS.net to NHS.net emailing is secure. Social media use such as 
Facebook messaging and Whatsapp are not used because of risks to information governance, 
particularly confidentiality.  

I hope the information provided indicates how seriously the Trust has taken the death of Mr 
Seal  and  how  committed  we  are  to  embedding  the  learning,  improving  patient  safety  and 
reducing avoidable harm. If there is any further information you require we would be happy to 
provide this. 

Yours sincerely  

Dr Hayley Richards, MRCGP; MRCPsych 
Chief Executive 
Avon and Wiltshire Mental Health Partnership NHS Trust 

Chair 
Charlotte Hitchings  

Trust Headquarters 
Bath NHS House, Newbridge Hill, Bath BA1 3QE  

Chief Executive 
 Dr Hayley Richards  

__________________________________________________________________________
_____ 

'We are a teaching, learning and research trust; we aim to inform you about relevant opportunities, 
unless you tell us otherwise.'

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