Source · Prevention of Future Deaths

Erik Marshall

Ref: 2024-0222 Date: 25 Apr 2024 Coroner: Marilyn Whittle Area: South Yorkshire West Responses identified: 1 / 1 View PDF

A significant commissioning gap leaves high-risk 17-year-olds without essential sensory occupational therapy, as child services end at 16 and adult services only accept from 18.

Date 25 Apr 2024
56-day deadline 20 Jun 2024 est.
Responses identified 1 of 1
Child Death (from 2015) Suicide (from 2015)

Coroner's concerns

AI summary
A significant commissioning gap leaves high-risk 17-year-olds without essential sensory occupational therapy, as child services end at 16 and adult services only accept from 18.
View full coroner's concerns
I was provided with evidence that the OT referral made to the Child Development Centre in Warrington was not accepted because Erik was 17 years old and they were only commissioned to age 16. I was informed that there was no provision in commissioning for new OT referrals for sensory needs and that he was signposted to possible adult services although these would only accept him once he was 18. A gap in the commissioning and support for these high risk individuals was identified.

Responses

1 respondent
Cheshire and Merseyside Integrated Care Board Integrated Care Board
14 Jun 2024 PDF
Action Planned

The Cheshire and Merseyside ICB intends to commission Occupational Therapy services for children and young people up to the age of 18 years and 364 days, which will be in place from December 2024. (AI summary)

View full response
Dear Mrs Whittle

Re: Regulation 28 Prevention of Future Deaths Notice - Erik Leigh Marshall

Thank you for your letter dated 25th April 2024 sent following the conclusion of your inquest into the death of Erik Leigh Marshall.

I understand that you will share our response with Eriks family, and I wish to pass on our sincere condolences for their loss.

Through the Regulation 28 letter you have raised a concern which involves NHS Cheshire and Merseyside Integrated Care Board.

Following the investigation and inquest into the death of Erik Leigh Marshall it has been requested by yourself what provisions will be put in place to address the commissioning gap for ‘Occupational Therapy’ (OT) services for 16–18-year-olds in Warrington.

NHS Cheshire & Merseyside Integrated Care Board recognise this gap in provision and in response to this request can confirm the following action:

Our Cheshire and Merseyside Commissioning Board (C&M ICB) intends to commission the Occupational Therapy service for Children and Young People up to the age of 18 years and 364 days. This will be in place from December 2024.

The current service offer for children up to the age of 16 is listed below, from December this offer will be available to young people until the day before their 19th birthday (when they will transition to the adults service).
• Assessment and advice for children and young people with sensory processing difficulties/ sensory integration.
• Specialist advice and training on therapy interventions for parents and carers where clinically appropriate.
• Specialist therapy for assessment, treatment, and advice for children and young people with complex health needs as indicated by clinical requirement.
• Young people will be supported in the transition to adult services and a transition plan is in place.
• A service which is fully aware of and involved in safeguarding processes for children and young people.
• Involvement and Engagement with children, young people, and their families (the service will develop innovative, accessible methods of engaging with service users and gaining their feedback and they will report on this at regular intervals.)
• Collection and evaluation of feedback from children, young people, and parents/carers on informing the design and delivery of the local health services for them.
• Work towards relevant accreditations and standards as described in national and local guid- ance.
• Specialist therapy for assessment, treatment and advice in maximising Motor Skills and ac- tivity programmes to maximise children’s functionality levels in everyday activities.

M Whittle HM Assistant Coroner (South Yorkshire West) Sitting at Cheshire Coroners Court

NHS Cheshire and Merseyside No 1 Lakeside, 920 Centre Park Square Warrington, WA1 1QY Communications@cheshireandmerseyside.nhs.uk Cheshireandmerseyside.nhs.uk
• Assessment and recommendation of equipment for schools and nurseries only e.g. toileting and seating.
• Assessment and recommendation of children requiring orthotic provision to Warrington and Halton Hospital Financial Trust, or appropriate provider. NHS Cheshire and Merseyside Integrated Care Board are deeply saddened by the death of this young person and hope this provides a satisfactory response to the request.

I am grateful to you for raising these issues with the NHS Cheshire and Merseyside ICB and I hope that this response has addressed the concerns raised. Should you require any further clar- ification or information, please do not hesitate to contact me.

Report sections

Copies sent to
Warrington Borough Counsel Bridgewater Community Healthcare NHS Trust

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Report details

Reference
2024-0222
Date of report
25 April 2024
Coroner
Marilyn Whittle
Coroner area
South Yorkshire West

Responses identified

Responses identified 1 of 1
All listed responses identified

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 20 Jun 2024 (estimated).

Sent to

Cheshire and Merseyside Integrated Care Board

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