AVON
Bath - Bristol - South Gloucestershire - North Somerset - North East Somerset
Bath - Bristol - South Gloucestershire - North Somerset - North East Somerset
If the Coroner feels that evidence gives rise to a concern that circumstances creating a risk of other deaths will occur or continue to exist, he/she may make a Rule 43 report which is sent to the organisation that has responsibility for the circumstances. A recipient of a Rule 43 report must send a written response within 56 days to the Ministry of Justice.
The Coroner has sent a Rule 43 to the following organisation/s ...
The Coroner has sent a Rule 43 to the following organisation/s ...
CARE HOME DEATHS
CARE QUALITY COMMISSION
Recommendation - Published May 2012
To consider whether guidelines similar to those issued by NICE should be circulated to all those caring for people with Epilepsy.
BLANCHWORTH CARE GROUP - South Gloucestershire
Recommendation - Published May 2012
To consider a review of the measures in place to ensure bed rail assessments in its care homes are performed and recorded appropriately, and that such assessments are filed and retained in residents' records.
CARE QUALITY COMMISSION
Recommendation - Published May 2012
To consider whether guidelines similar to those issued by NICE should be circulated to all those caring for people with Epilepsy.
BLANCHWORTH CARE GROUP - South Gloucestershire
Recommendation - Published May 2012
To consider a review of the measures in place to ensure bed rail assessments in its care homes are performed and recorded appropriately, and that such assessments are filed and retained in residents' records.
COMMUNITY HEALTHCARE AND EMERGENCY SERVICES RELATED DEATHS
AVON FIRE AND RESCUE SERVICE
Recommendation - Published May 2012
To consider a review of when the fire service should enter residential property: make detailed enquiries of other occupants: properly record reasons for unwanted fire signals (false alarm calls), and ensure that this example is used in future training.
RESPONSE:
FROM: Avon Fire and Rescue Service
Click here to download the response ...
AVON FIRE AND RESCUE SERVICE
Recommendation - Published May 2012
To consider a review of when the fire service should enter residential property: make detailed enquiries of other occupants: properly record reasons for unwanted fire signals (false alarm calls), and ensure that this example is used in future training.
RESPONSE:
FROM: Avon Fire and Rescue Service
Click here to download the response ...
DRUG AND MEDICATION RELATED DEATHS
1. COMMUNITY MENTAL HEALTH TEAM (SOMERSET PARTNERSHIP NHS FOUNDATION
TRUST)
2. AVON & WILTSHIRE MENTAL HEALTH TRUST
Recommendation - Published May 2012
To consider a review of the measures in place to arrange face-to-face assessments within a reasonable time between discharge from A&E and referral to the Community Mental Health Team, and of the audits in place to ensure compliance with these measures and time limits.
RESPONSE:
FROM: Avon and Wiltshire Mental Health Partnership NHS Trust
Click here to download the response ...
1. COMMUNITY MENTAL HEALTH TEAM (SOMERSET PARTNERSHIP NHS FOUNDATION
TRUST)
2. AVON & WILTSHIRE MENTAL HEALTH TRUST
Recommendation - Published May 2012
To consider a review of the measures in place to arrange face-to-face assessments within a reasonable time between discharge from A&E and referral to the Community Mental Health Team, and of the audits in place to ensure compliance with these measures and time limits.
RESPONSE:
FROM: Avon and Wiltshire Mental Health Partnership NHS Trust
Click here to download the response ...
