Doll, Re Inquest into the death of [2017] NICoroner 9 (1 December 2017)

Doll, Re Inquest into the death of [2017] NICoroner 9 (1 December 2017)

The deceased did not meet the criteria for detention under the Mental Health Act at or around the time of her death. The care provided, including referrals and engagement with mental health services, was timely and appropriate. Omissions in communication regarding consultant transfer did not impact the care or outcome.

Citation
[2017] NICoroner 9
Parties
Deceased: Sabina Doll; Coroner: Coroner Patrick McGurgan
Jurisdiction
Northern Ireland
Judgment Date
01 December 2017
Procedural Posture
Inquest / Final Judgment
Outcome
Death by poisoning; no evidence of neglect or failure in care contributing to death.
Legal Topics
Inquest Procedure, Mental Health Care, Detention Criteria, Medication Management
Coronial Law Mental Health Law Inquest Procedure Mental Health Care Detention Criteria Medication Management

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Parties

Sabina Doll

Deceased

Coroner Patrick McGurgan

Coroner

Procedural Posture

Inquest / Final Judgment

Legal Issues

  1. 1 Whether the care provided to Sabina Doll by mental health services was appropriate
  2. 2 Whether Sabina Doll met the criteria for detention under the Mental Health (NI) Order 1986
  3. 3 Whether omissions in care or communication contributed to her death

Ratio Decidendi

The deceased did not meet the criteria for detention under the Mental Health Act at or around the time of her death. The care provided, including referrals and engagement with mental health services, was timely and appropriate. Omissions in communication regarding consultant transfer did not impact the care or outcome.

Court Disposition

Death by poisoning; no evidence of neglect or failure in care contributing to death.

Orders

  • Trusts should review policy on minute taking at Multi-Disciplinary Team Meetings.