Brighton & Hove

Concerns summary The provided text indicates general concerns about matters revealed during the inquest, suggesting a risk of future deaths without specifying particular issues.

Concerns summary The provided text indicates general concerns about matters revealed during the inquest, suggesting a risk of future deaths without specifying particular issues.

Concerns summary The provided concerns text was insufficient to identify specific safety issues or systemic failures.

Concerns summary The patient's transfer to his new GP was identified as likely unsafe.

Concerns summary No specific concerns were detailed in the provided text.

Concerns summary The provided concerns text for this report does not detail specific safety issues or systemic failures related to the deceased's care at Carlton House Rest Home.

Concerns summary The provided text only states the coroner's statutory duty to report concerns without detailing specific issues identified.

Concerns summary The lack of local in-patient detox facilities and long waiting lists are unacceptable. A more collaborative approach for dual diagnosis patients is critically needed, as current separation of care increases risk.

Concerns summary Inadequate fall prevention measures included insufficient observations, failure to identify fall patterns, and a lack of recorded meaningful activities. Unsuitable non-slip footwear also posed a risk.

Concerns summary There are serious and concerning delays in ambulances arriving at the scene of incidents, potentially compromising timely patient care.

Concerns summary The report indicates a risk of future deaths unless action is taken, but no specific concerns were detailed in the provided text.

Concerns summary No specific concerns regarding future deaths were detailed in the provided text, only contact information.

Concerns summary A poorly informed decision to discharge a patient with no improvement, without doctor review, led to a failed discharge that seriously compromised the patient's health.

Concerns summary Inadequate junior doctor training in sling application, lack of senior doctor review for high-risk patients, and failure to follow hospital discharge protocols for senior review and analgesia.

Concerns summary Online medication prescribing allowed applicants to provide false information without verification, leading to excessive and inappropriate prescription of an addictive drug without patient contact or correct guidance.

Concerns summary Incomplete documentation and a care assistant's failure to adhere to observation policy for a vulnerable patient led to an unwitnessed fall. There was also a complete lack of documentation for specialling observations, contravening Trust and national policies.

Concerns summary The provided text did not detail any specific concerns or systemic failures.

Concerns summary The provided concerns text is boilerplate and does not specify any particular safety issues or systemic failures regarding Geoffrey Moyse's death.

Concerns summary No specific concerns text was provided to summarise.

Concerns summary The provided text is incomplete and does not contain specific concerns.

Concerns summary The provided text only states the report concerns the Acute Medical Unit (AMU) where the deceased was admitted, without specifying the issues or failures.

Concerns summary Significant failings in mental health care involved the absence of a care coordinator, ignored patient requests for medication review, and an unacceptably delayed, "hands off" response to urgent concerns for a vulnerable patient.

Concerns summary The provided text is incomplete and does not detail any specific concerns or systemic failures that could lead to future deaths.

Concerns summary A patient with advanced kidney disease was fatally prescribed Codeine, directly breaching hospital policy and national guidance on medication for vulnerable patients.