Nihad Ousta

PFD Report Historic (No Identified Response) Ref: 2016-0378
Date of Report 25 October 2016
Coroner Chinyere Inyama
Coroner Area London (West)
Response Deadline est. 20 December 2016
Mental Health related deaths
Judiciary.uk Report PDF
Coroner's Concerns (AI summary)
There is a critical absence of written protocols or guidance for head injury management, specifically regarding the frequency and range of necessary general and neurological observations.
View full coroner's concerns
In the my circumstances it is my statutory duty to report to you: There was not and currently is not a protocol or other written guidance or policy for the management of head injury (to include frequency and range of general and neuro observations)
Sent To
  • West London Mental Health Trust
Response Status
Linked responses 0 of 1
56-Day Deadline 20 Dec 2016
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 3rd of January 2015 commenced an investigation into the death of Nihad Ousta: The investigation concluded at the end of the inquest on 25ih October 2016 with a narrative conclusion returned by the jury:
Circumstances of the Death
Nihad Ousta was admitted to Coniston Ward; West London Mental Health Trustsunder szhdentalsHaealah Act 1983. He suffered visibie head trauma o 2 separate occasions before deteriorating being transferred to Ealing General Hospital for further treatment Whilst there he acutely deteriorated necessitating transfer to Charing Cross Hospital for a neurosurgical procedure. He was returned to Ealing General post procedurer(ateetransterred to a nursing home for further management and then several months later admitted into St George's Hospital where he passed away:
Action Should Be Taken
In opinion action should be taken to prevent future deaths and believe you and your my organisation have the power to take such action:
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.