Source · Prevention of Future Deaths
Chloe Siokos
Ref: 2014-0439
Date: 8 Oct 2014
Coroner: Andrew Walker
Area: London (North)
Responses identified: 0 / 1
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Primary care lacks a clear framework and ready access to interpreters, and there is no system to flag relevant patient connections, impacting continuity of care.
Date
8 Oct 2014
56-day deadline
3 Dec 2014 est.
Responses identified
0 of 1
Coroner's concerns
Primary care lacks a clear framework and ready access to interpreters, and there is no system to flag relevant patient connections, impacting continuity of care.
View full coroner's concerns
That there was no framework for primary care staff to make a decision when an interpreter is required. That interpreters should be available to primary care staff more readily That there is no system of flagging to alert primary care staff to the need to consider the care provided to patient in the context of another patient where that is relevant.
Report sections
Investigation and inquest
On the 25"h June 2012 opened an inquest touching the death of Chloe Siokos years old. The inquest concluded on the 29' 2014 The conclusion of the inquest was 'Unlawful Killing" , the medical case of death was Ia Incised wound to the throat and blunt force trauma t0 the head.
Circumstances of the death
On the twenty second of January 2013 Chloe Siokos was found in a kitchen at her home having been killed by her husband who had set a fire in the house before hanging himself: There were 3 relevant factors That Mrs Siokos shared a home with Mr Siokos. That Mrs Siokos was subject to pattern of abuse by Mr Siokos over a number of years_ That Mr Siokos had, at some point; begun to suffer a deterioration in mental health leading to a delusional state of mind_ Mr Siokos had no of psychiatric illness and he never showed any psychotic ideation. On the 16th January 2013 the GP telephoned to speak to Mr Siokos but spoke to Mrs Siokos instead. Mrs Siokos asked the doctor if it was about the results of the X-ray that was undertaken on the 11th January 2013. The doctor explained that it was Mrs Siokos then called for Mr Siokos to come down from upstairs , the portion of the house where he lived se parate_from Mrs Siokos_The doctor explained that there was a problem To: July history
Her Majesty's Coroner for the Northern District of Greater London (Harrow; Brent; Barnet; Haringey and Enfield) with the and that Mr Siokos would need to be seen urgently the following Mr Siokos then asked the doctor to speak to Mrs Siokos again and it was agreed that Mrs Siokos would him in to see a different doctor Concerns were raised at the inquest about whether in the circumstances, that Mr and Mrs Siokos lived separately at the same address, had separate door bells and Council Tax and largely lived separate lives an interpreter should have been used: Concerns were also raised that when looking at Mr Siokos's GP notes there was no to indicate that it may not be appropriate to use Mrs Siokos as an interpreter for Mr Siokos Mrs Siokos did accompany Mr Siokos to that appointment and again assisted with interpreting what was said.
Her Majesty's Coroner for the Northern District of Greater London (Harrow; Brent; Barnet; Haringey and Enfield) with the and that Mr Siokos would need to be seen urgently the following Mr Siokos then asked the doctor to speak to Mrs Siokos again and it was agreed that Mrs Siokos would him in to see a different doctor Concerns were raised at the inquest about whether in the circumstances, that Mr and Mrs Siokos lived separately at the same address, had separate door bells and Council Tax and largely lived separate lives an interpreter should have been used: Concerns were also raised that when looking at Mr Siokos's GP notes there was no to indicate that it may not be appropriate to use Mrs Siokos as an interpreter for Mr Siokos Mrs Siokos did accompany Mr Siokos to that appointment and again assisted with interpreting what was said.
Action should be taken
In my opinion action should be taken to prevent future deaths and believe you [ANDIOR your organisation] have the power to take such action:
Copies sent to
ray day: bring flag
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Report details
- Reference
- 2014-0439
- Date of report
- 8 October 2014
- Coroner
- Andrew Walker
- Coroner area
- London (North)
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: 3 Dec 2014 (estimated).
Sent to
- Department of Health and Social Care