On the 24h June 2015 commenced an investigation into the death of Laura Theresa McRory: The investigation concluded at the end of the inquest on the 6"h June 2016. The conclusion of the inquest was a narrative conclusion: Mrs Laura McRory suffered from severe anxiety and associated alcohol misuse. She was noted to be deteriorating in her mental state and alcohol misuse in the weeks leading up to her death: On 20"h June 2015 she was taken to hospital by her sister in the hope of receiving help. After assessment by a registered mental nurse, she was discharged home, without any immediate follow up or continued observation. The following day her husband found her intoxicated and later unresponsive. She died from alcohol and mixed drug consumption. The evidence does not reveal her intention at the time of consuming the fatal mix of drugs and alcohol.

Laura McRory was a 40 year old lady who had a past medical history of recurrent episodes of anxiety and depression, associated with alcohol misuse. She worked for the North East London Foundation Trust (NELFT): In the weeks leading up to her death, she suffered a deterioration in her mental state and increase in alcohol consumption. She was taken to Whipps Cross Hospital A&E on the 20"h June 2015. She was assessed by the NELFT psychiatric Iiaison team (a Registered Mental Nurse) . Mrs McRory made it clear that she did not want to be assessed by staff working for the same Trust as her. The RMN in his statement to the Court stated: voluntary psychiatric admission was not the direction Mrs McRory wanted to go, not least because it would have meant further assessment by the Home Treatment Team for consideration; the very same service that she worked in, which would have been utterly humiliating" Mrs McRory was discharged from hospital, following the psychiatric team's assessment.

The following day Mrs McRory was found by her husband to be unresponsive Paramedics were called, but she could not be resuscitated. Post mortem investigations revealed a cause of death of alcohol and mixed drug consumption: heard evidence during the course of the inquest from He confirmed his opinion that a more robust safety plan should have been in place at the end of the psychiatric consultation on the 206h June 2015. In particular; he considered that there should have been a request for Mrs McRory to be admitted under the medical team for observation. An admission under the medical team may well have been acceptable to Mrs McRory as this was not the Trust for whom she worked: It was clear from the evidence of her sisted that the A&E staff had considered that Ms McRory required admission_ also considered that a protocol was required, to deal with the issue of referral out to a neighbouring Trust; where a member of NELFT staff requires mental health care_

In my opinion action should be taken to prevent future deaths believe you have the power to take such action: and like and