Norfolk and Suffolk NHS Trust urged to keep processes under review following King’s Lynn death

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A coroner has asked Norfolk and Suffolk NHS Trust to keep new processes introduced following the death of a Lynn woman under review.

Assistant coroner David Osborne recorded a verdict of suicide for Colleen Starr at a hearing in Lynn on Monday.

Mrs Starr, 53, was found dead at her home in Elsing Drive, Lynn, on September 17.

The hearing was told that Mrs Starr had received help from the trust from 2013. Consultant Dr Luk Wai-Ho reviewed Mrs Starr on September 2 but did not anticipate her immediate discharge from the crisis team, which offers 24/7 support. She was discharged onto the community team on September 9.

Changes implemented since then include multi-discipline staff meetings.

Mr Osborne said: “I would ask the trust to ensure that the implementation of those actions are kept under regular review.”

Dr Jane Sayer, director of nursing, quality and patient safety, said Mrs Starr was offered a comprehensive care plan by the community team and Mind.

She said: “We have since carried out a thorough review of the transfer and discharge processes between our services to further ensure that all risks of harm are fully identified and shared between teams to help them support the patient and help them to better manage their condition.”