Special review of mental health services at Nottinghamshire Healthcare NHS Foundation Trust: Part 2

2020

May

• 24 May
  First arrest/mental health presentation.
  Sent home following mental health assessment
• 24 May
  Re-arrested (1 hour after discharge)
• 25 May
  First detention under under section 2 of the Mental Health Act 1983 (MHA) at Highbury Hospital

June

July

• 11 July
  VC's family contacts EIP team with concerns about his mental health
  Concerns recorded but no contact attempted
• 14 July
  Police incident. Second detention under the MHA (section 3) at Highbury Hospital

VC engaged with care services until August 2021, but concerns noted throughout the period around VC taking his medicine

August to October

• 9 and 24 October
  2x contacts by VC’s family
  These were followed up by the EIP team

2021

May

• 29 May 2021
  Concerns raised by VC’s family
  Followed up by crisis team by phone

August

• 19 August
  VC’s condition noted to be deteriorating and increasing lack of engagement from VC

September

• 3 September
  Taken to a place of safety under section 2 of the MHA
• 11 September
  Third hospital admission to independent hospital (out of area) under section 2

October

• 1 October
  VC moved to independent hospital in Nottingham under section 3 of the MHA

VC engagement with care services superficial and sporadic

• 22 October
  VC’s family contacted the EIP team expressing dissatisfaction at not being informed that he was being discharged
  The discharge happened on a Friday with no crisis home treatment team input arranged over the weekend. The EIP team attempted to make a referral to the crisis resolution and home treatment team but they were unable to accept VC due to capacity due to an “influx in GP referrals over the weekend”

2022

January

• 18 January
  VC detained at a place of safety following alleged assault on fellow student
• 19 January
  VC assessed for detention under the MHA but not detained as the assessing doctor felt he could be managed in the community and was not detainable

VC disengages from mental health services and not taking medication.

• 28 January
  Fourth hospital admission at Highbury Hospital (due to lack of concordance)

February

• 24 February
  Discharged back to EIP team

April

• 28 April
  Care coordination transferred from long standing care coordinator to two community psychiatric nurses due to concerns about risks

September

• 23 September
  Discharged back to GP due to non-engagement. No further records.