NSW coroner recommends changes to make Nolan House safer after death of patient in care

A NSW coroner has recommended changes be made at Albury Wodonga Health 's Nolan House to improve patient safety.Recommendations include better record keeping, improved staff inductions, and reviewing policies and cross-border conflicts.

The recommendations include making medical records electronic, improving staff inductions, and reviewing policies to better protect those at risk of suicide.The inquest found Mr Schnelle died in April 2021 from injuries that were intentionally self-inflicted while he was at significant risk of self-harm, despite being cared for and detained as an involuntary patient at Nolan House in Albury.

Ms Kennedy has recommended to the Albury Wodonga Health CEO that the service continue to advocate with both New South Wales and Victoria health departments for the implementation of cross-border compatible electronic medical records, and standardised documents for risk assessment, formulation, and observation across its mental health services.

Further recommendations included implementing risk assessment tools that focused on assessment, formulation, and management of risk and factors associated with increased suicidal behaviour. Mr Schnelle's death occurred while the health service had been struggling with new staffing models at Nolan House with many long-term visiting medical officers disengaging from the service, which created a difficult period of transition and increased staff turnover."The end result is that perhaps given the devastating nature of his illness he could not be."However, he deserved the best chance that he could be given, to buy time to attempt to find a treatment that worked.

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Source: Healthcare Press (healthcarepress.net)

Roger Schnelle Coronial Inquiry Nsw Coroner Erin Kennedy Albury Wodonga Health Medical Records Cross-Border Health Policies Inquest

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