The family’s lawyers, Stewarts Law, said the coroner recorded a narrative conclusion and found that a plan for Chanel to be observed on a one-to-one basis by a mental health nurse was not carried out.<\/p>\n
They said the coroner concluded that if it had been, it was “possible, not probable” that it could have made a material difference to the outcome.<\/p>\n
The firm said Chanel was twice found slumped in her chair, but no contemporaneous notes were made, making the timeline unclear.<\/p>\n
They added that there were seven mental health patients in A&E overnight and only two mental health nurses on duty, both already allocated.<\/p>\n
Muriel said: “What has been established is that she was put on a plan to have one-to-one supervision. This plan was never executed or actioned.<\/p>\n
“It is really clear now because we have gone through an investigation with Barnet, then we’ve obviously gone through the coroner’s inquest and the outcome is she did not have one-to-one supervision and the registered mental health nurse that should have been with her.”<\/p>\n
She said one issue identified was the hospital’s reliance on agency healthcare staff. <\/p>\n
While the hospital attempted to get additional staff in, none were available.<\/p>\n
“And lo and behold, she has a cardiac arrest,” Muriel said<\/p>\n
“She may have been left for up to half an hour until someone noticed her. So how does she go unnoticed? Was she just ignored?<\/p>\n
“It feels like she was abandoned.”<\/p>\n","protected":false},"excerpt":{"rendered":"The family’s lawyers, Stewarts Law, said the coroner recorded a narrative conclusion and found that a plan for…\n","protected":false},"author":2,"featured_media":293068,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[134,527,111,139,69],"class_list":{"0":"post-293067","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-healthcare","8":"tag-health","9":"tag-healthcare","10":"tag-new-zealand","11":"tag-newzealand","12":"tag-nz"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts\/293067","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/comments?post=293067"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts\/293067\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/media\/293068"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/media?parent=293067"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/categories?post=293067"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/tags?post=293067"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}