North East London NHS Foundation Trust
NHS / Health Body
Action Planned
The Trust has attached a detailed action plan to address concerns raised about a patient's discharge from the Home Treatment Team, including a lack of medical review, comprehensive risk assessment, and multi-disciplinary team discussion. (AI summary)
View full response
Dear Madam
Re: Inquest touching upon the death of Carol ROBINSON
I refer to your letter dated 30 March 2023 and the enclosed Regulation 28 report, issued in respect of your concerns regarding the risk of future deaths.
Concerns
At the conclusion of the hearing into the death of Carol Robinson, you expressed concern regarding the following matters:
1. Mrs Robinson did not receive a medical review by a doctor within the Home Treatment Team prior to her discharge back to the care of her GP on the 25th April 2022.
2. Mrs Robinson did not receive a comprehensive risk assessment prior to her discharge from the Home Treatment Team on the 25th April 2022.
3. There was no multi-disciplinary team discussion to ensure a safe community plan following discharge from the Home Treatment Team. There was no communication with regard to the withdrawal of the Home Treatment Team’s input, with the domiciliary care agency or family of Mrs Robinson.
We have carefully considered your Regulation 28 report and by way of response, we attach a detailed action plan addressing the concerns raised by you.
I would like to take this opportunity to thank you for raising your concerns as part of this inquest. We find learning from inquests extremely valuable and are very grateful for your comprehensive investigation, which benefits not only the families of the deceased, but also the Trust and its service users.
I trust that the attached action plan reassures you that the Trust has taken this tragic death very seriously indeed, and that it reflects our commitment to improve care quality and patient safety.
If I can further assist, please do contact my office .
Re: Inquest touching upon the death of Carol ROBINSON
I refer to your letter dated 30 March 2023 and the enclosed Regulation 28 report, issued in respect of your concerns regarding the risk of future deaths.
Concerns
At the conclusion of the hearing into the death of Carol Robinson, you expressed concern regarding the following matters:
1. Mrs Robinson did not receive a medical review by a doctor within the Home Treatment Team prior to her discharge back to the care of her GP on the 25th April 2022.
2. Mrs Robinson did not receive a comprehensive risk assessment prior to her discharge from the Home Treatment Team on the 25th April 2022.
3. There was no multi-disciplinary team discussion to ensure a safe community plan following discharge from the Home Treatment Team. There was no communication with regard to the withdrawal of the Home Treatment Team’s input, with the domiciliary care agency or family of Mrs Robinson.
We have carefully considered your Regulation 28 report and by way of response, we attach a detailed action plan addressing the concerns raised by you.
I would like to take this opportunity to thank you for raising your concerns as part of this inquest. We find learning from inquests extremely valuable and are very grateful for your comprehensive investigation, which benefits not only the families of the deceased, but also the Trust and its service users.
I trust that the attached action plan reassures you that the Trust has taken this tragic death very seriously indeed, and that it reflects our commitment to improve care quality and patient safety.
If I can further assist, please do contact my office .