Source · Prevention of Future Deaths
Rebecca Overy
Ref: 2014-0535
Date: 17 Dec 2014
Coroner: Stephanie Haskey
Area: Nottinghamshire
0 responses identified · 1 indexed addressee
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AI-generated concerns summaryThe immediate transfer of a patient upon turning 18 was detrimental to her mental health, driven by statutory obligations rather than her best interests. The coroner also identified a lack of secure mental health care provisions for young adults aged 18-24 with similar complex clinical needs.
Date
17 Dec 2014
56-day deadline
11 Feb 2015 est.
estimated from the report date
Responses identified
0 of 1
Coroner's concerns
The immediate transfer of a patient upon turning 18 was detrimental to her mental health, driven by statutory obligations rather than her best interests. The coroner also identified a lack of secure mental health care provisions for young adults aged 18-24 with similar complex clinical needs.
View full coroner's concerns
1.That the immediate transfer of Miss the day after her 18'h birthday was not in her best interests_ was detrimental to her mental health and occurred purely due to the operation of s 30 of the Health and Social Care whereby the commissioners were obliged to arrange an immediate transfer, and the clinicians to concur with it, lest they be in breach of the act That there is no provision for secure mental health care for young adults in the age range 18-24, with a clinical picture similar to Rebecca's_ day being Overy Act,
Report sections
Investigation and inquest
From 17th to 27th November2014 the death of Rebecca Louise Overy was the subject of an Article 2 Inquest. It was found that Miss Overy had died as a result of hypoxic brain injury as a result of asphyxia whilst in adult secure mental health detention. The jury returned a Narrative Conclusion:
Circumstances of the death
Miss Overy's fatal injury was self-inflicted, and occurred whist she remained on the adult admission ward. She had been transferred there from Child and Adolescent secure mental health detention the after her 18" birthday, without any prior visit to the adult intuition and without any plan for a gradual transition, given Miss Overy's particular circumstances, despite this proposed by her adolescent responsible clinician_
Action should be taken
In my opinion action should be taken to prevent future deaths and believe your organisation has the power to take such action_
Similar PFD reports
Report details
- Reference
- 2014-0535
- Date of report
- 17 December 2014
- Coroner
- Stephanie Haskey
- Coroner area
- Nottinghamshire
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: 11 Feb 2015 (estimated from the report date).
Sent to
- Department of Health and Social Care