Source · Prevention of Future Deaths

Amanda Vickers

Ref: 2014-0052 Date: 3 Feb 2014 Coroner: D LI Roberts Area: Cumbria (North & West) 1 response identified · 1 indexed addressee View PDF

AI-generated concerns summaryInsufficient availability of beds at the county's sole mental health crisis home meant a patient died while awaiting admission. The report notes the need for a review of facility provision.

Date 3 Feb 2014

56-day deadline 31 Mar 2014 est. estimated from the report date

Responses identified 1 of 1

Mental Health related deaths

Coroner's concerns

AI summary

Insufficient availability of beds at the county's sole mental health crisis home meant a patient died while awaiting admission. The report notes the need for a review of facility provision.

View full coroner's concerns

This lady died whilst awaiting a place at 81 Lowther Street Crisis Home. She had been there before and found it therapeutic No space was available, and no date when one might arise_was _known She died whilst waiting for admission The evidence was that and unit TS the only one of its type in the whole county . ItTs understoodhhav this 6-beddded commissioning such facilities. On the balance of probability the CCG is responsible for difference in this case A review of the facilities an admission would have made a number of beds for available is suggested with a view to the provision of a patients such as the deceased

Responses

1 respondent

Cumbria Clinical Commissioning Group

NHS / Health Body

PDF

AI-classified response stance Action Planned

AI-generated response summary

• The CCG is reviewing its previous mental health and wellbeing framework strategy. • The CCG plans to develop a new Mental Health Strategy for Cumbria, involving stakeholders and public consultation. • An independent review of Mental Health is due to report back by the end of May 2014.

View full response

dnojg 8uJuo SSiuwo) |eJIul) eiuqun) SHN JO1naJI0 Iexipaw Majajuis sinox 'Aqunos a41 SSOJJe Sajinuas S/SI4J paseq paq pue Kxunuwo? Jo uoneun?iyuov J41 apnp?u! IlIm 42iym sKemyied 41/ea4 Ielual panoJdul Jo Juaudojaap a41 8uJJoyul U! poedui Juejilu8is @ a^EY IIIM SJuauaia 35341J0 410g "uonleinsuo) Juanned /oiqnd pue suapioyaxe1s Kjuage !IInu Ile YIIM diysuauued U! eiqun) JO} ABa1eJs YleaH (eJuaW Mau e Buidojanap 01 MaI e YHM S! SI4L TTOZ woJ} Aga1eJls XJOMaweJ} Bujaqilam pue Y1/eay Iejuaw snomajd a4} 8UJMalAaJ JO ssajoJd a4} U! MoU aJe #M "VIOZ Kew Jo pua a41 Je xpeq HodaJ 01 anp S! Yleay Iejual JO MaiaJ Juapua 241 'Sl4} 411m ajam am ajaym 0} se noa awepdn pinoys 148n041 'JaaJ15 Ja41MO7 T8 se Squauuysiqeisa yon5 Je saveid Jo Jaqunu palull ay1 wnoqe paujajuo) Alleoiinads ajam nok paiyuep? noA 42yM U! VTOZ IludV ST pajep Ja11a| Jnof JO} nok YueyL suaqod '/7 *J JW Jeaa 1OO ETV) euqun) y1noujaxjo) Xn"syu Bo3eluqunj MMM peoy 4Bniduue7 Xn"syu Go3euqunzusaijinbua 'Ilewa XJed ssauisng puejaxe7] pue aS 987 S72 89210 "131 euqun) 1saM *8 YHON XH8 IlVJ 'euqun) 'YllJuad JauoJo) Joiuas WH aue7 a8p1JA 'ieldsoH 4IlJuad 'Iun ajepsuo7 suaqod "17 *0 JW dnojg SuiuoissiWWo) /eJiuiij eijqun) SHN dnoj5 buluoISS_uwoj [eJIulp) bTOZ 62 euqun) SHN dapul qam Aew

Report sections

Investigation and inquest

On 28th August 2013 commenced an investigation into the death of Amanda Jane Vickers, age 47 years. The investigation concluded at the end of the inquest on 27th January 2014. The conclusion of the inquest was cause of death 1(a) Hanging: Conclusion: Took her own life whilst the balance of her mind was disturbed.

Circumstances of the death

The deceased had a long history of depression and suicidal ideation. Over the days before her death she had daily contact with her mental health nurse_ She was to be referred to a residential crisis home, but no room was available immediately. On the evening of the 22nd August 2013 the deceased was found hanging by the neck from a fabric ligature attached to a roof beam at her home address

Action should be taken

action should be taken to prevent future deaths and believe you In my opinion have the power to take such action. [ANDIOR your organisation]

Similar PFD reports

Shared signals

Report details

Reference: 2014-0052
Date of report: 3 February 2014
Coroner: D LI Roberts
Coroner area: Cumbria (North & West)

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: 31 Mar 2014 (estimated from the report date).

Sent to

NHS Cumbria Clinical Commissioning Group

Source links

Judiciary.uk page → Report PDF →

Data: judiciary.uk.

Contains public sector information licensed under the Open Government Licence v3.0.