Dear Mrs Whittle

Re: Regulation 28 Prevention of Future Deaths Notice - Erik Leigh Marshall

Thank you for your letter dated 25th April 2024 sent following the conclusion of your inquest into the death of Erik Leigh Marshall.

I understand that you will share our response with Eriks family, and I wish to pass on our sincere condolences for their loss.

Through the Regulation 28 letter you have raised a concern which involves NHS Cheshire and Merseyside Integrated Care Board.

Following the investigation and inquest into the death of Erik Leigh Marshall it has been requested by yourself what provisions will be put in place to address the commissioning gap for ‘Occupational Therapy’ (OT) services for 16–18-year-olds in Warrington.

NHS Cheshire & Merseyside Integrated Care Board recognise this gap in provision and in response to this request can confirm the following action:

Our Cheshire and Merseyside Commissioning Board (C&M ICB) intends to commission the Occupational Therapy service for Children and Young People up to the age of 18 years and 364 days. This will be in place from December 2024.

The current service offer for children up to the age of 16 is listed below, from December this offer will be available to young people until the day before their 19th birthday (when they will transition to the adults service).
• Assessment and advice for children and young people with sensory processing difficulties/ sensory integration.
• Specialist advice and training on therapy interventions for parents and carers where clinically appropriate.
• Specialist therapy for assessment, treatment, and advice for children and young people with complex health needs as indicated by clinical requirement.
• Young people will be supported in the transition to adult services and a transition plan is in place.
• A service which is fully aware of and involved in safeguarding processes for children and young people.
• Involvement and Engagement with children, young people, and their families (the service will develop innovative, accessible methods of engaging with service users and gaining their feedback and they will report on this at regular intervals.)
• Collection and evaluation of feedback from children, young people, and parents/carers on informing the design and delivery of the local health services for them.
• Work towards relevant accreditations and standards as described in national and local guid- ance.
• Specialist therapy for assessment, treatment and advice in maximising Motor Skills and ac- tivity programmes to maximise children’s functionality levels in everyday activities.

M Whittle HM Assistant Coroner (South Yorkshire West) Sitting at Cheshire Coroners Court

NHS Cheshire and Merseyside No 1 Lakeside, 920 Centre Park Square Warrington, WA1 1QY Communications@cheshireandmerseyside.nhs.uk Cheshireandmerseyside.nhs.uk
• Assessment and recommendation of equipment for schools and nurseries only e.g. toileting and seating.
• Assessment and recommendation of children requiring orthotic provision to Warrington and Halton Hospital Financial Trust, or appropriate provider. NHS Cheshire and Merseyside Integrated Care Board are deeply saddened by the death of this young person and hope this provides a satisfactory response to the request.

I am grateful to you for raising these issues with the NHS Cheshire and Merseyside ICB and I hope that this response has addressed the concerns raised. Should you require any further clar- ification or information, please do not hesitate to contact me.