Source · Prevention of Future Deaths

David Price

Ref: 2019-0145 Date: 29 Apr 2019 Coroner: Alison Mutch Area: Manchester (South) Responses identified: 1 / 1 View PDF

There is a critical lack of an integrated mental health counselling and detoxification service in Stockport to support individuals treating anxiety alongside alcohol dependency.

Date 29 Apr 2019
56-day deadline 23 Sep 2019 est.
Responses identified 1 of 1
Alcohol, drug and medication related deaths

Coroner's concerns

AI summary
There is a critical lack of an integrated mental health counselling and detoxification service in Stockport to support individuals treating anxiety alongside alcohol dependency.
View full coroner's concerns
In circumstances it is my statutory duty to report to you_ _ The inquest heard evidence that David Alan Price had a long standing problem with alcohol which he used to self-medicate his anxiety in particular: He made a number of attempts to give up my the alcohol. These were ultimately unsuccessful: The inquest heard that one of the challenges was to provide support which would enable him to treat his mental health difficulties e.g: anxiety alongside detoxification and supporting him in staying alcohol free. The inquest heard that he would have benefited from an integrated mental health counsellingldetoxification service. This would have enabled joint treatment: Such a programme is not available in Stockport:

Responses

1 respondent
Stockport NHS CCG NHS / Health Body
24 Jun 2019 PDF
Action Planned

The CCG and Local Authority will continue promoting services for people with alcohol and substance misuse problems experiencing mental health problems, request regular updates on service promotions, and monitor access, activity, and outcomes for people with alcohol issues accessing mental health/psychological therapy services. (AI summary)

View full response
Dear Ms Mutch Re: Response to Regulation 28 Letter: David Alan Price write following the inquest of David Alan Price heard on 13th November 2018 and concluded on 24th April 2019. The concerns you have raised after hearing the evidence have been brought to my attention, the purpose therefore of this letter is to respond to the action you raised following the sad death of Mr Price. Your letter states that Mr Price would have benefited from an integrated mental health counselling/detoxification service; which would have enabled joint treatment;, and you have asked the CCG to take or propose actions to address your concerns In developing the actions to respond to your concers the CCG has discussed the provision of support with both the Local Authority Public Health Department who are responsible for commissioning alcohol and substance misuse services and Pennine Care NHS Foundation Trust who provide local mental health services. would like to set out the provision that is in place to address the needs of clients like Mr Price who present with both alcohol and underlying mental health problems Pennine Care NHS Foundation Trust provide specialist alcohol treatment service, which includes community detoxification within a structured treatment programme The treatment programme is provided by trained alcohol workers who are competent in addressing underlying common mental health problems, such as anxiety and depression

Self Help Services (The Big Lie Group) supports people to access an eTherapylonllne computerised treatment programme for substance misuse which allows people to resolve psychological and Iifestyle issues associated with alcohol or substance misuse, Self Help services also provlde one to one psychological support for people with common mental health problems_ We know through actlvity reporting and monitoring that uptake of this service offer could be improved and having identified that uptake of this service needs to be improved Self Help Services will continue to promote the offer with Alcohol service providers. Healthy Minds (Pennine Care NHS Foundation Trust) employ a therapist within IAPT (lImproving Access for Psychological Therapies), who work with people with alcohol issues: The Liaison Mental Health Team (fomerly RAID) employ Alcohol Workers who provide follow-Up appointments and support in the community for those who irequently present to the Emergency Department We recognise that with these services in place Mr Price should have been able to benefit from them, but did not: The CCG and Local Authority have reviewed and are recommending the following actions: Continued and ongoing promotion of services to support people with alcohol and other substance misuse problems experiencing mental health problems Both CCG and Local Authority Public Health Department; through routine contract meetings will request regular updates on service promotions and communication between mental health and alcohol and substance misuse services 2 Monitoring access, activity and outcomes for people with alcohol issues accessing mental healthlpsychological therapy services; through regular contract meetings. We believe that the actions set out in thls response provide assurance that services are in place in Stockport to meet needs of people with both underlying mental health and alcohol problems_ If you require any further infomation do not hesitate to contact me

Report sections

Investigation and inquest
On 13th November 2018, commenced an investigation into the death of David Alan Price The investigation concluded on the 24th April 2019 and the conclusion was one of Alcohol-Related Death:
Circumstances of the death
David Alan Price had a long history of using alcohol to cope with his mental health: He had successfully completed detoxification programmes in the past with subsequent relapses. He had accessed mental health services but with limited success On 2th November 2018 he was found at his home address) Post-mortem toxicology found a fatal blood alcohol reading 0f 509 mg%. There were no suspicious circumstances or third party involvement in his 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:

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Report details

Reference
2019-0145
Date of report
29 April 2019
Coroner
Alison Mutch
Coroner area
Manchester (South)

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: 23 Sep 2019 (estimated).

Sent to

Stockport Clinical Commissioning Group

Part of a series

2 reports
2015-0210 0 responses identified

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