Suicide risk review at Blackburn Hospital after patient hangs himself on ward

Suicide risk review at Blackburn Hospital after patient hangs himself on ward

Suicide risk review at Blackburn Hospital after patient hangs himself on ward

First published in News Blackburn Citizen: Photograph of the Author by , Reporter

SAFEGUARDING procedures for those at risk of suicide at Royal Blackburn Hospital have been called into question after a patient hanged himself on a ward.

Dr Terence Mullin, 53, was admitted to the medical assessment unit in the early hours on January 28 this year, after taking an intentional overdose of insulin, which resulted in severe hypoglycemia.

He was assessed by a mental health liaison nurse as being at high risk of further suicide attempts, and at 12.14am the next day he was found hanging.

Blackburn coroner Michael Singleton ruled that Dr Mullin, who lived in Daisy Mount, Maghull, near Liverpool, killed himself.

He criticised the hospital’s safeguarding procedures during an inquest at Blackburn coroner’s court.

He said: “The risk assessment in place in relation to risk of suicide within the medical assessment unit was insufficiently detailed and not fit for purpose.

“The controls in place were not adequate, there was no appropriate protocol.”

A spokesperson for East Lancs Hospitals NHS Trust and Lancashire Care NHS Foundation Trust said: “This was a very tragic incident and our thoughts and condolences are with the friends and family of Dr Mullen.

“Lancashire Care and East Lancashire Hospital Trust are working together on an on-going investigation into the circumstances of his death on the medical assessment unit at the Royal Blackburn Hospital.

“When someone needs an admission to a mental health bed, every effort is made to find one as close to their home as possible. This is to enable the continuity of care in the local service where they are known to existing teams and professionals.

“However, East Lancashire Hospitals and Lancashire Care have a joint responsibility to provide care and treatment until an admission into a mental health unit can be made. This is a duty that is taken very seriously.

“As such a thorough review and improvement plan is on-going to improve the care provided in this setting and to reduce the risk of a patient coming to harm.”

Comments (7)

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11:48am Wed 11 Jun 14

Fire Fly says...

This is a really sad situation however Lancashire Care's comments are laughable.

The number of acute mental health beds - just the kind needed by this man - have been reduced to such an extent that quite simply, there aren't any close to home & certainly not enough to go round regardless of where in the country.

Lancashire Care provide the adult psychaitry services...why did it take so long for them to find this man 'regarded at a high risk of further suicide attempts' a bed?? He'd been on the assessment unit for almost 24hrs.

Yes RBH should have been able to provide some interim care but as I understand it, the MAU is not suitable for interim psychiatry care for such a high risk patient.

RBH has it's issues but the major responsibility for mental health is Lancashire Care's...their mental health nurse assessed this man on the MAU...so regardless of how poor the units safeguarding, to me once seen by them...they should have made sure everything was in place to ensure his safety until a bed was found & clearly they didn't. MAU nurses are not psychiatry nurses.

Lets face it, this wouldn't have been the first time Lancashire Care would have assessed patients on MAU, so they should have known the score.
This is a really sad situation however Lancashire Care's comments are laughable. The number of acute mental health beds - just the kind needed by this man - have been reduced to such an extent that quite simply, there aren't any close to home & certainly not enough to go round regardless of where in the country. Lancashire Care provide the adult psychaitry services...why did it take so long for them to find this man 'regarded at a high risk of further suicide attempts' a bed?? He'd been on the assessment unit for almost 24hrs. Yes RBH should have been able to provide some interim care but as I understand it, the MAU is not suitable for interim psychiatry care for such a high risk patient. RBH has it's issues but the major responsibility for mental health is Lancashire Care's...their mental health nurse assessed this man on the MAU...so regardless of how poor the units safeguarding, to me once seen by them...they should have made sure everything was in place to ensure his safety until a bed was found & clearly they didn't. MAU nurses are not psychiatry nurses. Lets face it, this wouldn't have been the first time Lancashire Care would have assessed patients on MAU, so they should have known the score. Fire Fly
  • Score: 25

1:08pm Wed 11 Jun 14

noddy57 says...

Fire Fly wrote:
This is a really sad situation however Lancashire Care's comments are laughable.

The number of acute mental health beds - just the kind needed by this man - have been reduced to such an extent that quite simply, there aren't any close to home & certainly not enough to go round regardless of where in the country.

Lancashire Care provide the adult psychaitry services...why did it take so long for them to find this man 'regarded at a high risk of further suicide attempts' a bed?? He'd been on the assessment unit for almost 24hrs.

Yes RBH should have been able to provide some interim care but as I understand it, the MAU is not suitable for interim psychiatry care for such a high risk patient.

RBH has it's issues but the major responsibility for mental health is Lancashire Care's...their mental health nurse assessed this man on the MAU...so regardless of how poor the units safeguarding, to me once seen by them...they should have made sure everything was in place to ensure his safety until a bed was found & clearly they didn't. MAU nurses are not psychiatry nurses.

Lets face it, this wouldn't have been the first time Lancashire Care would have assessed patients on MAU, so they should have known the score.
The whole care system in this Country is Shambolic` they cannot even care for one of their own.This really is just the tip of the iceberg when it comes to the incompetence of the care system.you have to feel for this desperate man and his family who are left to pick up the pieces and must be left quite shocked at this seemingly inept consultation and assessment of the body responsible for this man,s care. it,s just not good enough.
[quote][p][bold]Fire Fly[/bold] wrote: This is a really sad situation however Lancashire Care's comments are laughable. The number of acute mental health beds - just the kind needed by this man - have been reduced to such an extent that quite simply, there aren't any close to home & certainly not enough to go round regardless of where in the country. Lancashire Care provide the adult psychaitry services...why did it take so long for them to find this man 'regarded at a high risk of further suicide attempts' a bed?? He'd been on the assessment unit for almost 24hrs. Yes RBH should have been able to provide some interim care but as I understand it, the MAU is not suitable for interim psychiatry care for such a high risk patient. RBH has it's issues but the major responsibility for mental health is Lancashire Care's...their mental health nurse assessed this man on the MAU...so regardless of how poor the units safeguarding, to me once seen by them...they should have made sure everything was in place to ensure his safety until a bed was found & clearly they didn't. MAU nurses are not psychiatry nurses. Lets face it, this wouldn't have been the first time Lancashire Care would have assessed patients on MAU, so they should have known the score.[/p][/quote]The whole care system in this Country is Shambolic` they cannot even care for one of their own.This really is just the tip of the iceberg when it comes to the incompetence of the care system.you have to feel for this desperate man and his family who are left to pick up the pieces and must be left quite shocked at this seemingly inept consultation and assessment of the body responsible for this man,s care. it,s just not good enough. noddy57
  • Score: 13

5:52pm Wed 11 Jun 14

phil kernot says...

It's not fair how people with mental issues are treated ,,, its not right ,,, Many a time your read in the paper .. Man or women attempts suicide by say jumping off bridge ,, what happens when there down safely , there dragged off to the police station and charged with breach of the peace etc ,, that's not help that's making them feel worse ,,, have some empathy for these people ,,
It's not fair how people with mental issues are treated ,,, its not right ,,, Many a time your read in the paper .. Man or women attempts suicide by say jumping off bridge ,, what happens when there down safely , there dragged off to the police station and charged with breach of the peace etc ,, that's not help that's making them feel worse ,,, have some empathy for these people ,, phil kernot
  • Score: 10

8:11pm Wed 11 Jun 14

mavrick says...

The Tories have a lot to answer for and everyone who voted for this coalition. This happened last time they were in power.
The Tories have a lot to answer for and everyone who voted for this coalition. This happened last time they were in power. mavrick
  • Score: 6

7:31am Thu 12 Jun 14

Mypointis says...

Hospitals are not the places for these kind of people. Remove the black mark against mau for this. Move on, you don't have to blame everything on someone else.
Hospitals are not the places for these kind of people. Remove the black mark against mau for this. Move on, you don't have to blame everything on someone else. Mypointis
  • Score: 2

2:35pm Thu 12 Jun 14

Outcry says...

Allegedly, things are so bad rumours are that Lancashire Care NHS Trust has increased its insurance premiums to cover an increase in the number of fatalities.
It states: “When someone needs an admission to a mental health bed, every effort is made to find one as close to their home as possible. This is to enable the continuity of care in the local service where they are known to existing teams and professionals."
And yet, the Trust saw its spending on out-of-area beds rise from £93,000 on care for 36 patients in 2011-12 to £3.1m on care for 218 patients in 2013-14.
Allegedly, things are so bad rumours are that Lancashire Care NHS Trust has increased its insurance premiums to cover an increase in the number of fatalities. It states: “When someone needs an admission to a mental health bed, every effort is made to find one as close to their home as possible. This is to enable the continuity of care in the local service where they are known to existing teams and professionals." And yet, the Trust saw its spending on out-of-area beds rise from £93,000 on care for 36 patients in 2011-12 to £3.1m on care for 218 patients in 2013-14. Outcry
  • Score: 1

4:53pm Thu 12 Jun 14

Pittss says...

Maverick.
Your a Pratt, how anyone with a brain can blame any party for this mans suicide is beyond belief. Maverick you are a thick twit, oops, I think The spelling is incorrect.
Maverick. Your a Pratt, how anyone with a brain can blame any party for this mans suicide is beyond belief. Maverick you are a thick twit, oops, I think The spelling is incorrect. Pittss
  • Score: 1

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