Charles Williamson
PFD Report
All Responded
Ref: 2019-0326
All 2 responses received
· Deadline: 3 Jan 2020
Coroner's Concerns (AI summary)
A shortage of appropriate neuro-rehabilitation beds in Greater Manchester is preventing early effective rehabilitation, increasing the risk of complications and death.
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The inquest heard that following neurological incidents such as those sustained by Mr Williamson it will often be the case that a to returning to baseline or closer to baseline is effective and early neuro-rehabilitation. The inquest was told that a shortage of appropriate neuro-rehabilitation beds in Greater Manchester was in some cases preventing early effective neuro-rehabilitation and increasing the risk of complications which could lead to death: ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and | believe you have the power to take such action. YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report, namely by 25ih November 2019. !, the coroner; may extend the period. Your 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. COPIES and PUBLICATION have sent a copy of my report to the Chief Coroner and t0 the following key -
Interested Persons namely pn behalf of the family, who may find it useful or 0f interest am also under a duty to send the Chief Coroner a copy of your response The Chief Coroner may publish either or both in a complete or redacted or summary form. He may send a copy of this report to any person who he believes may find it useful or of interest: You may make representations to me, the coroner; at the time of your response; about the release or the publication of your response by the Chief Coroner: Alison Mutch OBE HM Senior Coroner 30.09.2019 (lus
Interested Persons namely pn behalf of the family, who may find it useful or 0f interest am also under a duty to send the Chief Coroner a copy of your response The Chief Coroner may publish either or both in a complete or redacted or summary form. He may send a copy of this report to any person who he believes may find it useful or of interest: You may make representations to me, the coroner; at the time of your response; about the release or the publication of your response by the Chief Coroner: Alison Mutch OBE HM Senior Coroner 30.09.2019 (lus
Responses
Action Taken
Greater Manchester neuro-rehabilitation services have been undergoing transformation since 2016, with investment in community neuro-rehabilitation services in seven out of 12 areas and implementation planning for inpatient service transformation commenced in July 2019. Actions include development of community and inpatient service standards, peer review of inpatient services, a GM-wide training program, and a patient & carer network. (AI summary)
Greater Manchester neuro-rehabilitation services have been undergoing transformation since 2016, with investment in community neuro-rehabilitation services in seven out of 12 areas and implementation planning for inpatient service transformation commenced in July 2019. Actions include development of community and inpatient service standards, peer review of inpatient services, a GM-wide training program, and a patient & carer network. (AI summary)
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Dear Ms Mutch Re: Regulation 28 Report - Charles WILLIAMSON I write in response to your letter of 03 October 2019. Attached to this letter is a report that I hope you will agree addresses the concerns you outlined in respect of the above case. Please do not hesitate to contact me if I can be offurther help.
Noted
The Department of Health and Social Care states that the provision of neuro-rehabilitation services in Greater Manchester is a matter for local NHS commissioners. It acknowledges the GMHSCP is implementing a new model of care for neuro-rehabilitation services and improving the quality of inpatient and community services. (AI summary)
The Department of Health and Social Care states that the provision of neuro-rehabilitation services in Greater Manchester is a matter for local NHS commissioners. It acknowledges the GMHSCP is implementing a new model of care for neuro-rehabilitation services and improving the quality of inpatient and community services. (AI summary)
View full response
• From Nadine Dorries MP Parliamentary Under Secretary ofState for Patient Safety, Department Suicide Prevention and Mental Health of Health & 39 Victoria Street London Social Care SW1H0EU 020 7210 4850 Your Ref: 13104/CH Our Ref: PFD-1192584 Ms Alison Mutch QBE HM Senior Coroner, Manchester South HM Coroner's Court 1 Mount Tabor Street Stockport SK1 3AG ;) 5 March 2020 r,. l\ l , N\vJ-->. (~ \ vu V\./ Thank you for your correspondence to Matt Hancock dated 30 September 2019 about the death of Charles Williamson. I am replying as Minister with responsibility for patient safety and I offer my apologies for the delay in responding. Firstly, I would like to say how sorry I was to read the circumstances of Mr Williamson's death. Please offer my condolences to his wife and loved ones. From the information in your report, it appears that access to neuro-rehabilitation services was not a factor in Mr Williamson's death. However, I agree with you that access to early and effective neuro-rehabilitation services is key to recovery for patients that have sustained a head injury. The provision of neuro-rehabilitation services in Greater Manchester is a matter for local NHS commissioners. The Greater Manchester Health and Social Care Partnership (GMHSCP} was formed in 2016, bringing together local authorities, NHS commissioners, NHS providers and the Mayoral Combined Authority to oversee the health and social care devolution programme in Greater Manchester. The GMHSCP has control of a £6 billion health and social care budget that is used to provide integrated care. I am aware that the GMHSCP has advised in its response to your report that the NHS in Greater Manchester is working to implement a new model of care for neuro-rehabilitation services to ensure that patients are referred to the right level of care, at the right time and with consistent quality standards. This followed engagement activities with patients and others on the new model of care. I am advised that the expected benefits of moving to a single service across Greater Manchester include improved referral pathways, better continuity of care and increased opportunities for rehabilitation at home and in the community.
In addition to changes to the configuration of neuro-rehabilitation services, the NHS in Greater Manchester is undertaking work to improve the quality of inpatient and community neuro-rehabilitation services. This includes the development of service standards and improved discharge planning and processes. I am advised that by April 2020, each clinical commissioning group (CCG) in Greater Manchester has committed to commission a neuro-rehabilitation service in line with the newly developed service specification. I hope this information is helpful and provides assurance about the future provision of neuro-rehabilitation services in Greater Manchester. Thank you for bringing your concerns to my attention. NADINE DORRIES
In addition to changes to the configuration of neuro-rehabilitation services, the NHS in Greater Manchester is undertaking work to improve the quality of inpatient and community neuro-rehabilitation services. This includes the development of service standards and improved discharge planning and processes. I am advised that by April 2020, each clinical commissioning group (CCG) in Greater Manchester has committed to commission a neuro-rehabilitation service in line with the newly developed service specification. I hope this information is helpful and provides assurance about the future provision of neuro-rehabilitation services in Greater Manchester. Thank you for bringing your concerns to my attention. NADINE DORRIES
Sent To
- Department of Health and Social Care
- Greater Manchester Health and Social Care Partnership
- Mayor of Greater Manchester
Response Status
Linked responses
2 of 3
56-Day Deadline
3 Jan 2020
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
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.