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 include:

• 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 partners
• 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."

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