16 May 2019
Statement in response to conclusion of the inquest into the death of Natasha Abrahart
Julie Kerry, Director of Nursing, at Avon and Wiltshire Mental
Health Partnership (AWP) NHS Trust, said: "We are deeply sorry for
Natasha's death and would first and foremost like to offer our
sincere condolences to her family
"We fully accept the findings of the Coroner and recognise that
we did not act in accordance to best practice in all of the care
provided to Natasha.
"I want to assure Dr and Mrs Abrahart that we are an
organisation that wishes to change things for the better to improve
our services for our patients. We and our partner
organisations know that changes need to happen to some of our
processes and ways of working and we are committed to doing this
and have already put in place some measures to minimise the risk of
a similar incident occurring in the future. These
• Systems and processes in place to ensure patients get the
help they need in a timely way
• Structures in place to develop and improve our ways of
sharing information and communicating across our multiple
• Enhancing our suicide prevention work to support timely
risk assessments and care plans
"We will continue to work with our partner organisations
including the University, CCG and our national partners to make
further changes and improvements to the way we work together.
"We have met with Dr and Mrs Abrahart to share what we are doing
and to involve them in further changes and I hope that we can
continue to work together to ensure we have better practice and
systems in place to minimise the possibility of this sort of
tragedy happening again.
"Once again on behalf of the Trust I offer my sincere
condolences to Natasha's family."