Source · Prevention of Future Deaths

Aaron Vranas

Ref: 2014-0376 Date: 11 Aug 2014 Coroner: Tom Osborne Area: Bedfordshire & Luton Responses identified: 1 / 1 View PDF

Fragmented care for patients with co-occurring psychiatric illness and ADHD due to treatment at geographically separate hospitals creates significant management difficulties.

Date 11 Aug 2014

56-day deadline 6 Oct 2014 est.

Responses identified 1 of 1

Hospital Death (Clinical Procedures and medical management) related deaths

Coroner's concerns

AI summary

Fragmented care for patients with co-occurring psychiatric illness and ADHD due to treatment at geographically separate hospitals creates significant management difficulties.

View full coroner's concerns

_ told me that it would be in the best interests of the patients if the treatment of the psychiatric illness and the patients ADHD (Attention Deficit Hyperactivity Disorder) were dealt with at the same Hospital as it is difficult to manage a patient when their treatment is carried out in two entirely different hospitals many miles apart: He went on to say in evidence that he had for that many times in the past; but to no avail.

Responses

1 respondent

Bedfordshire Clinical Commissioning Group NHS / Health Body

29 Sep 2014 PDF

Action Planned

Bedfordshire Clinical Commissioning Group is considering support for people with ADHD as part of a procurement of mental health services, due by April 2015. In the interim, they will work with South Essex Partnership Trust to develop a pathway outlining responsibilities for the care of people with ADHD and psychiatric illness by the end of October 2014. (AI summary)

View full response

Dear Mr Osbourne_ RE: Inquest touching the death of_Aaron Michael VRANAS Ryan Inquest held on 28th July 2014at Coroners Court Ampthill Regulation 28 report Thank you for your letter dated 15th August 2014 in relation to this very sad case; It is Bedfordshire Clinical Commissioning Group's intention that people with Attention Deficit Disorder (ADHD) will be supported through local services This is being considered currently, as part of the procurement of mental health services in Bedfordshire, which is due to be completed by April 2015. In the interim period Bedfordshire Clinical Commissioning group will work with South Essex Partnership Trust on the development of a pathway that clearly outlines the responsibilities for safe and effective care of people that have diagnosis of ADHD and a psychiatric illness and are in receipt of services from local and specialist services_ This will be completed by end of October 2014. hope this addresses your concerns in relation to the findings of this case, if you require any further details will be happy to provide these for you:

Report sections

Investigation and inquest

On the 14th April 2014 I commenced an Investigation into the death of Aaron Michael VRANAS 25 years. The Investigation concluded at the end of the Inquest on July 2014 at which I recorded suicide whilst suffering from a mental illness' the medical cause of death being = I(a) Multiple Injuries CIRCUMSTANCES OF THE DEATH On the 13th April 2014 Aaron Michael VRANAS fell Floor window at Court; Church Lane, Bedford, when he received fatal multiple injuries: (1) aged 28th from 1oth Bury

Action should be taken

In my opinion action should be taken to prevent future deaths and believe you, as the Chief Executive, have the power to take such action. YOUR RESPONSE You are under a duty to respond to this Report within 56 of the date of this report, namely by 6th October 2014; I, the Coroner; extend the period: response must contain details of action taken or proposed to be taken , setting out the timetable for action Otherwise you must explain why no action is proposed

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Shared signals

Report details

Reference: 2014-0376
Date of report: 11 August 2014
Coroner: Tom Osborne
Coroner area: Bedfordshire & Luton

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: 6 Oct 2014 (estimated).

Sent to

Bedfordshire Clinical Commissioning Group

Source links

Judiciary.uk page → Report PDF →

Data: judiciary.uk under OGL.