Source · Prevention of Future Deaths
Chandni Nigam
Ref: 2015-0180
Date: 11 May 2015
Coroner: Peter Bedford
Area: Berkshire
Responses identified: 0 / 1
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No attempt was made to obtain historical input or information from private clinicians when the patient reverted to NHS mental health care, missing potentially helpful treatment guidance.
Date
11 May 2015
56-day deadline
6 Jul 2015 est.
Responses identified
0 of 1
Coroner's concerns
No attempt was made to obtain historical input or information from private clinicians when the patient reverted to NHS mental health care, missing potentially helpful treatment guidance.
View full coroner's concerns
(1) During the course of her on-going care, Miss Nigam was being seen by private psychiatrist and psychologist. When she reverted to NHS Mental Health Team Care she still had on-going sessions with the private psychologist. There was an opportunity to gain history and input from the private clinicians as to Miss Nigam’s history, previous treatment and what had been successful and less successful. No attempt to obtain that history or any input from the previous private clinicians appears to have been made. There was an opportunity to obtain helpful and effective historical information that may have assisted in the treatment of Miss Nigam by the Mental Health Team. 2
Report sections
Investigation and inquest
I conducted an Inquest into the death of Miss Chandni Nigam that was heard at Reading Town Hall between the 27th and the 29th April 2015. The conclusion of the Inquest was in the terms of a Narrative Conclusion attached to this report.
Circumstances of the death
Miss Nigam was a nineteen year old young lady who first showed signs of depression aged thirteen in 2008. The symptoms became more acute she came under the care of the Mental Health Team in the form of both the Crisis Team and Community Mental Health Team. Her parents had arranged for her to be seen by private clinicians and subsequently the NHS Mental Health Team and there was a brief period of overlap of care. While expressing suicidal idealisation, Miss Nigam had never attempted serious self-harm. On the 4th February 2014 she was struck by a train at Twyford Railway Station.
Copies sent to
of Miss NigamPeter J. Bedford Senior Coroner for Berkshire
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Report details
- Reference
- 2015-0180
- Date of report
- 11 May 2015
- Coroner
- Peter Bedford
- Coroner area
- Berkshire
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: 6 Jul 2015 (estimated).
Sent to
- Berkshire Healthcare NHS Foundation Trust