Source · Prevention of Future Deaths

Charles Williamson

Ref: 2019-0326 Date: 30 Sep 2019 Coroner: Alison Mutch Area: Manchester (South) 2 responses identified · 3 indexed addressees View PDF

AI-generated concerns summaryA shortage of appropriate neuro-rehabilitation beds in Greater Manchester prevents early effective rehabilitation, which can increase complications and the risk of death.

Date 30 Sep 2019
56-day deadline 3 Jan 2020 est. estimated from the Judiciary.uk publication date
Responses identified 2 of 3
Hospital Death (Clinical Procedures and medical management) related deaths

Coroner's concerns

AI summary
A shortage of appropriate neuro-rehabilitation beds in Greater Manchester prevents early effective rehabilitation, which can increase complications and the risk of death.
View full coroner's concerns
The inquest heard that following neurological incidents such as those sustained by Mr Williamson it will often be the case that a to returning to baseline or closer to baseline is effective and early neuro-rehabilitation. The inquest was told that a shortage of appropriate neuro-rehabilitation beds in Greater Manchester was in some cases preventing early effective neuro-rehabilitation and increasing the risk of complications which could lead to death: 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 25ih November 2019. !, 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 t0 the following key -

Interested Persons namely pn behalf of the family, who may find it useful or 0f interest am 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: Alison Mutch OBE HM Senior Coroner 30.09.2019 (lus

Responses

2 respondents

Greater Manchester Health and Social Care Partnership

Other
Indexed date: 3 Oct 2019 PDF
AI-classified response stance Noted

No AI summary available.

View full response
Dear Ms Mutch Re: Regulation 28 Report - Charles WILLIAMSON I write in response to your letter of 03 October 2019. Attached to this letter is a report that I hope you will agree addresses the concerns you outlined in respect of the above case. Please do not hesitate to contact me if I can be offurther help.

the Department of Health and Social Care

Central Government
Indexed date: 5 Mar 2020 PDF
AI-classified response stance Noted
AI-generated response summary

• The Greater Manchester Health and Social Care Partnership is working to implement a new model of care for neuro-rehabilitation services. • Work is being undertaken to improve the quality of inpatient and community neuro-rehabilitation services, including developing service standards and improved discharge planning. • Clinical commissioning groups in Greater Manchester committed to commission neuro-rehabilitation services in line with a new service specification by April 2020.

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• From Nadine Dorries MP Parliamentary Under Secretary ofState for Patient Safety, Department Suicide Prevention and Mental Health of Health & 39 Victoria Street London Social Care SW1H0EU 020 7210 4850 Your Ref: 13104/CH Our Ref: PFD-1192584 Ms Alison Mutch QBE HM Senior Coroner, Manchester South HM Coroner's Court 1 Mount Tabor Street Stockport SK1 3AG ;) 5 March 2020 r,. l\ l , N\vJ-->. ­ (~ \ vu V\./ Thank you for your correspondence to Matt Hancock dated 30 September 2019 about the death of Charles Williamson. I am replying as Minister with responsibility for patient safety and I offer my apologies for the delay in responding. Firstly, I would like to say how sorry I was to read the circumstances of Mr Williamson's death. Please offer my condolences to his wife and loved ones. From the information in your report, it appears that access to neuro-rehabilitation services was not a factor in Mr Williamson's death. However, I agree with you that access to early and effective neuro-rehabilitation services is key to recovery for patients that have sustained a head injury. The provision of neuro-rehabilitation services in Greater Manchester is a matter for local NHS commissioners. The Greater Manchester Health and Social Care Partnership (GMHSCP} was formed in 2016, bringing together local authorities, NHS commissioners, NHS providers and the Mayoral Combined Authority to oversee the health and social care devolution programme in Greater Manchester. The GMHSCP has control of a £6 billion health and social care budget that is used to provide integrated care. I am aware that the GMHSCP has advised in its response to your report that the NHS in Greater Manchester is working to implement a new model of care for neuro-rehabilitation services to ensure that patients are referred to the right level of care, at the right time and with consistent quality standards. This followed engagement activities with patients and others on the new model of care. I am advised that the expected benefits of moving to a single service across Greater Manchester include improved referral pathways, better continuity of care and increased opportunities for rehabilitation at home and in the community.

In addition to changes to the configuration of neuro-rehabilitation services, the NHS in Greater Manchester is undertaking work to improve the quality of inpatient and community neuro-rehabilitation services. This includes the development of service standards and improved discharge planning and processes. I am advised that by April 2020, each clinical commissioning group (CCG) in Greater Manchester has committed to commission a neuro-rehabilitation service in line with the newly developed service specification. I hope this information is helpful and provides assurance about the future provision of neuro-rehabilitation services in Greater Manchester. Thank you for bringing your concerns to my attention. NADINE DORRIES

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Report details

Reference
2019-0326
Date of report
30 September 2019
Coroner
Alison Mutch
Coroner area
Manchester (South)

Responses identified

Responses identified 2 of 3
All listed responses identified

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 3 Jan 2020 (estimated from the Judiciary.uk publication date).

Sent to

Department of Health and Social Care
Greater Manchester Health and Social Care Partnership
Mayor of Greater Manchester

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