Prevention of Future Deaths reports · 2023

Amy Henderson

Regulation 28 report to prevent future deaths, reference 2023-0129, written 21 Apr 2023. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report21 Apr 2023
Reference2023-0129
DeceasedAmy Henderson
CoronerCaroline Topping
Coroner areaSurrey
CategorySuicide (from 2015)
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 REPORT TO PREVENT 

FUTURE DEATHS THIS REPORT IS BEING SENT 

TO: 

1. 

2. 

Group  

1  CORONER 

 Chief Executive Officer of The Priory 

 Chief Executive Officer if NHS England 

I am Caroline Topping assistant coroner, for the coroner area of  
Surrey.  

2  CORONER’S LEGAL POWERS 

I 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 
An inquest into the death of Miss Amy Henderson was opened on the 26th 
April 2022 and resumed with a jury on the 6th February 2023. The inquest 
was concluded on the 23rd February 2023. Evidence in respect of matters 
pertaining to this report was heard on the 20th March 2023.   

The jury concluded that Miss Henderson died on the 21st March 2022 at the 
Priory Hospital, Woking and the medical cause of her death was: 

1a Suspension  

They concluded with a narrative conclusion and found that: 

1. The Priory staff knew Amy had suicidal ideation, but they did not know 
any details concerning plans, or that she had practised tying a ligature.  
2. No-one at the Priory asked her family about her suicide plans.  
3. It is not possible to determine what Amy would have said to her 
consultant if she had been asked about suicide plans. Amy denied having 
any plans when asked by an HCA and she denied having thoughts of 
suicide in her 1:1 with a SHCA.  
4. If Amy’s mother had been asked, she would have shown the screen 
shots from Amy’s phone and given details of Amy practising tying ligatures. 
Amy’s mother has no recollection of volunteering the information.  
5. Despite the notes from the therapy sessions being uploaded at 16.06, 
there was no formal request for Amy to be reviewed. There is evidence 
from professionals that Amy should have been reviewed urgently on the 
basis of the notes, if they had been scrutinised.  
6. If information about Amy practising tying a ligature had been known, 
there would have been more consideration given 

 bearing in mind the balance of risk and least restrictive practice. 

1 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 21st March. Amy was generally compliant with staff, 

7. After the identification of the disabled toilet as a high-risk area in 2021, 
the ligature risk of the disabled toilet was not effectively managed although 
the Priory considered that it was.  
8. Amy had unrestricted access to the disabled toilet, which was accessible 
to all patients, staff and visitors. 
 9. The Jury was not able to make a finding as to whether Amy was alive 
between 19.35 and 19.47.  

.  

In summary the following facts, on the balance of probabilities, made a 
material contribution to Amy Henderson’s death:  
a. Risk Assessments were not performed in line with Priory policy. 
b. There was no Key Worker present throughout Amy’s stay.  
c. There were incomplete observations and little evidence of engagement 
with Amy during observations. Boxes were not ticked on Observation and 
Engagement Records.  
d. The family was not consulted or questioned about Amy’s Suicide Plans. 
e. Therapy notes were not acted upon.  
f. There was a lack of staff training in Postnatal depression. 
g. There was a lack of continuity of care.  
h. The disabled toilet was not locked.  
i. Staff knowledge of the ligature footprint was inconsistent. 

Amy committed suicide. She used a 
herself. She is shown on CCTV entering the disabled toilet and no-one else 
entered it until Amy’s body was discovered.  
The death was contributed to by Neglect 

 ligature and intended to kill 

4  CIRCUMSTANCES OF THE DEATH 

Miss Henderson had a baby in 2021. When her baby was 11 months old 
she returned to work, but was signed off sick suffering from anxiety and 
depression.  On the evening of the 14th March 2022 she was taken by her 
family to Kingston Hospital and assessed by the liaison psychiatric team. 
She expressed suicidal thoughts and plans 

 She was diagnosed with post partum depression. She was 

advised to become an informal patient in the NHS but there was no bed 
available so she would have had to wait in the hospital until a bed could be 
found. She decided to seek a private admission the following day. 

On the 15th March 2022 she sought treatment at the Priory Hospital, 
 a consultant 
Woking. She had a preadmission assessment with 
psychiatrist who accepted her as a patient. She told him that she had a 
suicide plan but did not provide details of what it was. He assessed her as 
a high risk of suicide and set observations at four times an hour. She was 
allocated a Key Worker who was not due to be in the hospital until 22nd 
March 2022, and a Co-worker, who had a one-to-one with her on 19th 
March 2022. Her overall mental health appeared to have improved when 
 on March 18th 2022. The observation level 
she was reviewed by 
was reduced to twice an hour on the 16th March 2022, and then further to 

2 

 
 
 
  
 
 
 
 
 
 
 once an hour on the morning of March 21st 2022, on each occasion without 
a risk assessment being performed as specified in the Priory policy.  

Later on the morning of the 21st March 2022 Miss Henderson made 
comments during a therapy session which indicated that her mental health 
was deteriorating. The therapists recorded what she had said in her notes, 
but the concerns were not considered to be serious enough to be 
escalated to the nursing team. Evidence presented to the inquest suggests 
that Amy’s observations should have been increased at this stage. Amy 
was not reviewed by the nursing team when the therapists’ notes were 
uploaded onto the system at 16.06 on 21st March 2022. The information 
was not reviewed and therefore not acted upon. 

Miss Henderson was last seen in person at 18.02 in the dining room. At 
18.12. she entered the downstairs disabled toilet. The disabled toilet had 
been identified in risk assessments as a high-risk area but it was not 
locked.  She wrote a farewell note to her parents at 18.14. She was found 
in the disabled toilet on the ground floor at 20.01. She had taken her own 
life by suspension, 

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.  The information that Miss Henderson had practised tying a ligature 

was divulged by her at Kingston Hospital but not repeated on 
admission to the Priory Woking. The evidence given at the inquest 
was that there is no quick method to obtain NHS records on 
admission to a private hospital. A request could have been made but 
the records would have taken over a week to be released. The 
records were not sought. An ability to obtain the NHS records quickly 
would have been of assistance to the Priory clinicians.  

2.  The Priory Woking has a policy in relation to the removal of banned 
and restricted items but there was a lack of clarity and confusion 
among the clinicians as to who was responsible for ensuring that 
such items are identified and removed from the patient at admission. 

6  ACTION SHOULD BE TAKEN 

In my opinion action should be taken to prevent future deaths and I 
believe you [AND/OR your organisation] 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 16th June 2023. 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 Chief Coroner and to the following 
Interested Persons: 

Miss Henderson’s family 
The Priory Woking  

The Care Quality Commission  

I am also under a duty to send a copy of your response to the Chief 
Coroner and all  interested persons who in my opinion should receive 
it. 

I may also send a copy of your response to any other person who I believe 
may find it useful or of interest. 

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. 

9  Caroline Topping, 21st April 2023 

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 NHS England (PDF)
Ms Caroline Topping 
HM Coroner’s Court  
Station Approach 
Woking 
GU22 7AP 

Dear Coroner 

National Medical Director  
NHS England  
Wellington House 
133-155 Waterloo Road  
London 
SE1 8UG 

14 June 2023  

Re: Regulation 28 Report to Prevent Future Deaths – Amy Henderson who died 
on 21 March 2022.  

Thank you for your Report to Prevent Future Deaths (hereafter “Report”) dated 21 April 
2023  concerning  the  death  of  Amy  Henderson  on  21  March  2022.  In  advance  of 
responding to the specific concerns raised in your Report, I would like to express my 
deep condolences to Amy’s family and loved ones. NHS England are keen to assure 
the  family  and  the  coroner  that  the  concerns  raised  about  Amy’s  care  have  been 
listened to and reflected upon. 

In your report, you raised a concern that there was no quick method to obtain NHS 
records on admission to a private hospital. It is hoped that improvement will be made 
to issues such as this through the NHS England Shared Care Records programme, 
which  seeks  to  bring  together  information  from  a  range  of  healthcare  providers  in 
support of the provision of direct care. The focus is on the person receiving the care, 
rather than the provider and supports the safe and secure sharing of individuals’ health 
and  care  information.  A  shared  care  record  joins  up  information  based  on  the 
individual, from across different organisations. For patients, shared care records will 
include information such as care plans, previous appointments, inpatient stays, clinical 
contacts and medications, and is anticipated to bring:   

•  Safer, more coordinated services  
•  Reduction  in  time  by  avoiding  the  need  to  repeat  medical  or  social  care 

history  

•  Fewer repeats of tests, appointments and admissions  
•  Preferences and needs observed  
• 
• 

Improved experience and continuity of care  
Improved confidence in services  

Implementation and operation of shared care records is the responsibility of Integrated 
Care  Boards  (ICBs).  Initially,  public  sector  connectivity  is  being  prioritised  but  the 
forward  programme  plan  for  the  Shared  Care  Record  programme  for  2023/25 
acknowledges the important role that independent sector providers of care play. NHS 
England are aware that some ICBs are already engaging with Voluntary, Community 
and Social Enterprise organisations, recognising the important role that they play in 
the provision of care to their population. The Shared Care Record programme is also 

                                                                                                                       
 
 
 
 
 
 
 
 
 
 
 
 
  
 
  
 prioritising  national  interoperability,  pertinent  to  this  case  where  there  were  two 
separate Care Record locations (South West London ICB, where Kingston Hospital is 
located, being part of the London Care Record, and Surrey Heartlands ICB, where this 
site  of  the  Priory  is  located,  being  covered  by  the  Surrey  Care  Record).  Further 
information on the Shared Care Record programme can be found here. 

Regarding your second concern that at The Priory Woking there was a lack of clarity 
and confusion among clinicians as to who was responsible for ensuring that banned 
and  restricted  items  are  identified  and  removed  from  a  patient  at  admission,  this  is 
outside of NHS England’s remit and I note that you have also addressed your Report 
to Priory Group who are the appropriate organisation to respond to this concern.  

NHS England has, however, been sighted on Priory Group’s Serious Incident Report 
regarding this matter and the resulting Action Plan and recommendations. I would like 
to provide some additional assurance that national guidance around risk assessments 
is  currently  being  reviewed.  I  have  also  asked  my  regional  colleagues  to  confirm 
whether  Priory  Woking  now  has  access  to  GP  records.  NHS  England  is  happy  to 
provide further updates to the coroner in due course.  

I would also like to provide further assurances on national NHSE work taking place 
around the Reports to Prevent Future Deaths. All reports received are discussed by 
the Regulation 28 Working Group, comprising Regional Medical Directors, and other 
clinical and quality colleagues from across the regions. This ensures that key learnings 
and insights around preventable deaths are shared across the NHS at both a national 
and regional level and helps us pay close attention to any emerging trends that may 
require further review and action. 

Thank you for bringing these important patient safety issues to my attention and please 
do not hesitate to contact me should you need any further information. 

Yours sincerely, 

National Medical Director

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