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Coroner calls for changes to discharge letter procedures after patient death


The coroner is not focussing on the source of the problem re the lithium although I recognise the info given is patchy.Its a case of super-specialisation only focussing on their bit,kicking people out when scarcely patched up without having carefully read the notes which if they had, sending him back from Stents and Co back to Arrow Parke would have been wise where liaison between his original team and psychiatry to address the clearly unresolved item of his mental health medication could have been addressed. Informing the GP that lithium had been ceased would achieve noting because a GP is prevented from resuming it in any case. Sending more people more paperwork when the paperwork which exists already is not read properly is no answer. Mr Coroner- if you feel you must "do something", ponder my words.

Posted date

18 Sep 2019

Posted time