Michelle Turner
PFD Report
All Responded
Ref: 2020-0240
All 1 response received
· Deadline: 12 Jan 2021
Coroner's Concerns (AI summary)
Critical funding for peer support workers, who offer invaluable 'lived experience' and essential support for mental health and substance misuse, may be lost, jeopardizing vital services.
View full coroner's concerns
The MATTER OF CONCERN is as follows –
I heard evidence and found that Michelle Turner had the support of her care coordinator and of her peer support worker and that she appeared to have built very positive relationships with each of them. I also heard evidence that: The Clinical Commissioning Group holds the responsibility for the funding of peer support workers; Peer support workers provide a variety of forms of support to service users, including assistance with connecting with drug services, support in managing their day, support in leaving the house and support in engaging in activity and that, very significantly, peer support workers have or may have “lived experience” of alcohol and/or substance misuse; This is an “invaluable” resource and, despite the circumstances of her death, Michelle Turner had felt inspired by her peer support worker; There is a possibility that funding for peer support workers will be lost in March 2021. The concern that arises in these circumstances is that the service provided by peer support workers, which may be essential to those with mental health conditions and/or with alcohol and/or substance misuse problems and which is provided by those who, amongst service providers, may have the unique perspective of having “lived experience” of such problems, may be lost.
I heard evidence and found that Michelle Turner had the support of her care coordinator and of her peer support worker and that she appeared to have built very positive relationships with each of them. I also heard evidence that: The Clinical Commissioning Group holds the responsibility for the funding of peer support workers; Peer support workers provide a variety of forms of support to service users, including assistance with connecting with drug services, support in managing their day, support in leaving the house and support in engaging in activity and that, very significantly, peer support workers have or may have “lived experience” of alcohol and/or substance misuse; This is an “invaluable” resource and, despite the circumstances of her death, Michelle Turner had felt inspired by her peer support worker; There is a possibility that funding for peer support workers will be lost in March 2021. The concern that arises in these circumstances is that the service provided by peer support workers, which may be essential to those with mental health conditions and/or with alcohol and/or substance misuse problems and which is provided by those who, amongst service providers, may have the unique perspective of having “lived experience” of such problems, may be lost.
Responses
Action Planned
The CCG has agreed to extend the current peer support worker provision until March 2022 and is transforming community mental health services as part of the Long-Term Plan, which includes peer support workers. The transformation model is due to be submitted to NHS England in January 2021. (AI summary)
The CCG has agreed to extend the current peer support worker provision until March 2022 and is transforming community mental health services as part of the Long-Term Plan, which includes peer support workers. The transformation model is due to be submitted to NHS England in January 2021. (AI summary)
View full response
Dear Mr Holloway,
Regulation 28: Prevention of Future Deaths Report - Michelle Susan Turner (Died 01/06/19)
Please find below the response from Fylde and Wyre Clinical Commissioning Committee (CCG) to the Regulation 28 report, as above.
As a CCG we recognise the importance of peer support workers with lived experience in supporting people with mental health needs and are pleased to hear this was a valuable resource in supporting Michelle.
Fylde and Wyre CCG commissions peer support workers recurrently from Lancashire and South Cumbria NHS Foundation Trust, who sub-contract to Calico, as the current provider. This sub- contract arrangement was due to end on 31 March 2021; however, an extension has been agreed to ensure continuity of provision until March 2022.
As part of the Long-Term Plan January 2019, the Integrated Care System (ICS) across Lancashire and South Cumbria is currently transforming community mental health services and peer support workers form part of that model. This transformation will secure the long-term sustainability of this type of support from the voluntary sector.
The transformation model is due to be submitted to NHS England on 22 January 2021 and subject to approval, the ICS will continue with its 4-year implementation plan (2020/21 – 2023/24), which will then provide continued commitment and funding.
The model and redesign will build on current arrangements, whilst learning from exemplar models nationally, to provide invaluable resources to support people with serious mental illness, including interventions such as drugs and alcohol misuse, social housing, eating disorders, etc, and ensuring those on the mental health registers of each GP Practice receive an annual health check. The support from those with “lived experience” key workers will help people manage their daily activities both mentally and physically.
I hope this provides reassurance that Fylde and Wyre CCG recognise the importance these key roles have on supporting the community and that we continue to provide this in the future.
Regulation 28: Prevention of Future Deaths Report - Michelle Susan Turner (Died 01/06/19)
Please find below the response from Fylde and Wyre Clinical Commissioning Committee (CCG) to the Regulation 28 report, as above.
As a CCG we recognise the importance of peer support workers with lived experience in supporting people with mental health needs and are pleased to hear this was a valuable resource in supporting Michelle.
Fylde and Wyre CCG commissions peer support workers recurrently from Lancashire and South Cumbria NHS Foundation Trust, who sub-contract to Calico, as the current provider. This sub- contract arrangement was due to end on 31 March 2021; however, an extension has been agreed to ensure continuity of provision until March 2022.
As part of the Long-Term Plan January 2019, the Integrated Care System (ICS) across Lancashire and South Cumbria is currently transforming community mental health services and peer support workers form part of that model. This transformation will secure the long-term sustainability of this type of support from the voluntary sector.
The transformation model is due to be submitted to NHS England on 22 January 2021 and subject to approval, the ICS will continue with its 4-year implementation plan (2020/21 – 2023/24), which will then provide continued commitment and funding.
The model and redesign will build on current arrangements, whilst learning from exemplar models nationally, to provide invaluable resources to support people with serious mental illness, including interventions such as drugs and alcohol misuse, social housing, eating disorders, etc, and ensuring those on the mental health registers of each GP Practice receive an annual health check. The support from those with “lived experience” key workers will help people manage their daily activities both mentally and physically.
I hope this provides reassurance that Fylde and Wyre CCG recognise the importance these key roles have on supporting the community and that we continue to provide this in the future.
Sent To
- Blackpool Clinical Commissioning Group
Response Status
Linked responses
1 of 1
56-Day Deadline
12 Jan 2021
All responses received
About PFD responses
Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.
Source: Courts and Tribunals Judiciary
Report Sections
Investigation and Inquest
On 5th June 2019 an investigation was commenced into the death of Michelle Susan Turner. The inquest which formed part of that investigation was opened on 17th July 2019 and the investigation concluded at the end of the inquest which was heard over a period of 3 days from 12th October 2020 to 14th October 2020 inclusive.
The conclusion of the inquest as to the medical cause of death was as follows:
“1a. Multidrug toxicity”
I reached the following conclusion as to Michelle Turner’s death:
“Drug related death”
The conclusion of the inquest as to the medical cause of death was as follows:
“1a. Multidrug toxicity”
I reached the following conclusion as to Michelle Turner’s death:
“Drug related death”
Circumstances of the Death
My findings as to how, when and where Michelle Turner came by her death were as follows:
“Police attended the address of Michelle Susan Turner at Road, Freckleton on Saturday 1st June 2019 where she was found slumped and unresponsive on the floor of an upstairs bedroom. The Deceased’s death was confirmed at the scene. Michelle Susan Turner died at her home at
Road, Freckleton on Saturday 1st June 2019, her death having been caused by her use of heroin, cocaine and tramadol in the period leading up to her death. Each of those drugs made a more than minimal, negligible or trivial contribution to her death in combination with the others.”
“Police attended the address of Michelle Susan Turner at Road, Freckleton on Saturday 1st June 2019 where she was found slumped and unresponsive on the floor of an upstairs bedroom. The Deceased’s death was confirmed at the scene. Michelle Susan Turner died at her home at
Road, Freckleton on Saturday 1st June 2019, her death having been caused by her use of heroin, cocaine and tramadol in the period leading up to her death. Each of those drugs made a more than minimal, negligible or trivial contribution to her death in combination with the others.”
Action Should Be Taken
This report should not be read, in any sense, as implying any criticism and decisions such as those in question are, ultimately, a matter for the Clinical Commissioning Group.
Copies Sent To
LANCASHIRE AND SOUTH CUMBRIA NHS FOUNDATION TRUST
Inquest Conclusion
“1a. Multidrug toxicity”
I reached the following conclusion as to Michelle Turner’s death:
“Drug related death”
I reached the following conclusion as to Michelle Turner’s death:
“Drug related death”
Similar PFD Reports
Reports sharing organisations, categories, or themes
Related Inquiry Recommendations
Public inquiry recommendations addressing similar themes
Community mental health services for violence-fixated children
Southport Inquiry
Mental health access for alcohol addiction
Mental health assessment powers for isolated children
Southport Inquiry
Mental health access for alcohol addiction
Improve Vaccine Uptake Monitoring and Evaluation
COVID-19 Inquiry
Poor prevention and early intervention
Monitor Brook House contract performance robustly
Brook House Inquiry
Poor prevention and early intervention
Independent review of use of force on mentally ill detainees
Brook House Inquiry
Mental health access for alcohol addiction
Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.