Inquest into the disappearance of Luke Huggard

Case Number: 2018/56509

Findings Date: 22 March 2024

Magistrate: Joan Baptie

CORONIAL LAW | unexplained disappearance and whether missing person is now deceased; date and place; cause and manner of death

Recommendations

Recommendations

Executive Officer of the Prince of Wales Hospital

a. If it is not already completed, the SSESLHD will continue with the planned rollout of training on the Mental Health Act, including components that specifically address the requirements under sections 71 and 72, the Nomination of Designated Carer Form and the escalation process for all clinical staff working in inpatient units.

b. That the SESLHD Document and Development and Control Committed (DDCC) will continue to consider the proposed changes to the admission, transfer of care and discharge checklists to include a specific prompt for the notification of a designated carer or guardian, and a prompt to record the reasons if a designated carer or guardian is not notified.

c. That the SESLHD will audit the Nomination of Designated Carer Forms at the Kiloh Centre for completion rates and accuracy

d. That the SESLHD will investigate options for a secure electronic document system that will allow the transmission of patient records from non-NSW Health entities as an alternative to the use of fax machines

e. That in the interim, the Kiloh Centre consider creating a specific role responsibility for following up requests for collateral information.