Source · Prevention of Future Deaths
William Callis
Ref: 2018-0105
Date: 12 Apr 2018
Coroner: Anne Pember
Area: Northamptonshire
Responses identified: 0 / 1
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A lack of clear, specific instructions for GP practices on how to refer to the Urgent Care and Assessment team was identified.
Date
12 Apr 2018
56-day deadline
7 Jun 2018
Responses identified
0 of 1
Coroner's concerns
A lack of clear, specific instructions for GP practices on how to refer to the Urgent Care and Assessment team was identified.
View full coroner's concerns
During_the_inquest it became clear that there _was no specific instruction as to_ Way from the correct procedure for a GP practice to adopt when making a referral to the Urgent Care and Assessment team_
Report sections
Investigation and inquest
On 28/03/2017 commenced an investigation into the death of William John Callis whose date of birth was 19/02/1954. The investigation concluded at the end of the inquest on 07/03/2018. The medical cause of death was:- Ia) Hanging
Circumstances of the death
William John Callis was suffering from depression and sought help from his GP surgery in this regard. made an urgent referral to the Crisis Team on 10/02/2017 and he was seen that afternoon_ He was later reviewed by the Mental Health team _ He later was discharged the urgent care and assessment team on 20/02/2017 . On 14/03/2017 he was seen by Advanced Nurse Practitioner at the GP surgery. His depression and anxiety symptoms were raised s0_ Ireferred him back to the Mental Health Team. This referral was not taken on. William John Callis later hung himself at his home address on 28/03/2017
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
- 2018-0105
- Date of report
- 12 April 2018
- Coroner
- Anne Pember
- Coroner area
- Northamptonshire
Responses identified
Responses identified
0 of 1
1 response not yet linked
Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 7 Jun 2018.
Sent to
- St Lukes Primary Care Centre