East Sussex
Coroner Area
Reports: 32
Earliest: Jan 2014
Latest: 27 Feb 2026
97% response rate (above 63% average).
Sabrina Walsh
All Responded
2017-0449
14 Jul 2017
Department of Health and Social Care
Sussex Partnership NHS Trust
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary)
The absence of CCTV in corridors and communal areas at the acute care facility delayed locating vulnerable patients, risking timely intervention.
Noted
(AI summary)
NHS England provides context regarding the use of CCTV in mental health units, referencing relevant guidance and the Sussex Partnership NHS Foundation Trust's consultation with patients and staff. They note the Trust's agreement to install CCTV in entrance areas. The Trust is implementing the installation of CCTV in the entrance areas of all 12 of its acute inpatient/PICU wards, including Woodlands.
Amy El-Keria
All Responded
2016-0347
3 Oct 2016
Department of Health and Social Care
Hounslow Borough Council
Child Death (from 2015)
Mental Health related deaths
Suicide (from 2015)
Concerns summary (AI summary)
Hounslow Social Services misunderstood their ongoing welfare role for a child placed far from home and failed to assess for support, neglecting family contact issues.
Action Planned
(AI summary)
NHS England and Health Education England are working to improve the capacity and capability of the workforce delivering mental health care for children and young people. NHS England commissioned the Royal College of Psychiatrists and National Collaborating Centre for Mental Health (NCCMH) to develop guidance on staffing. NHS England and Health Education England (HEE) are working to improve the capacity and capability of the workforce delivering mental health care for children and young people. The Royal College of Psychiatrists and NCCMH were commissioned in 2016 to develop guidance on staffing for inpatient and community mental health care for children, young people and adults. The London Borough of Hounslow has updated its Thresholds Guidance & Assessment Protocols, with specific reference to children in need under S17 of the Children Act 1989 for those in hospital or other settings. Staff will receive briefings to reinforce awareness of their duties and the importance of family contact. Priory Group has enhanced observation recording forms and clarified its policy on information sharing. Monthly simulation drills are undertaken for BLS and ILS. A new tool for better assessment of behavioural risk prior to admission is being introduced with staff briefings underway. Priory Group has enhanced observation recording forms and clarified its policy on information sharing. Monthly simulation drills are undertaken for BLS and ILS. A new tool for better assessment of behavioural risk prior to admission is being introduced with staff briefings underway.