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recurance

Black Country Partnership NHS Foundation Trust

4
reports received
3
with a published response found
1
recurrence chains
2
reports in those chains
  • Safoora Alam6 Dec 2019

    Coroner Zafar Siddique · Black Country

    No published response from this organisation found.

  • David Jukes12 Jul 2019

    Coroner Emma Brown · Birmingham and Solihull · in 5 recurrence links

    Response
  • Richard Grant21 Apr 2016

    Coroner Emma Brown · Birmingham and Solihull

    Response · 4 stated actions
    2016-0157-Response-by-Black-Country-NHS.pdf ↗
    “AMHLS checklist is being developed and shared through team meetings which include prompts to review postcodes of patients to avoid incorrect referral route - Timescale for completion May 2016. (Completed)”
    “Review of SPOR duty system is underway and will include ceasing practice of sending inappropriate referrals back to referrer. Clinician will continue to review all referrals and will forward / signpost referrals directly onwards. System will also include confirmation of receipt by telephone call. Timescale for completion May 2016. (Completed)”
    “MHLS protocol being reviewed to encompass use of Common Assessment Tool and Clustering Tool to enable direct referrals from MHLS. Timescale for completion August 2016”
    “MHLS standard developed requiring ail letters are drafted within the same or following shift and are dispatched within 3 working days. (Completed)”
  • Kirsty Pritchard17 Oct 2014

    Coroner Zafar Siddique · Black Country · in 1 recurrence link

    Response · 1 stated action
    2014-0565-Response-by-Black-County-NHS-Trust_Redacted.pdf ↗
    “The Trust processes, including the function and service provided by CHTT, are currently under review as part of a wider mental health strategy review. This is taking place in order to modernise services, improve quality of care and access to services. This review will also ensure a seamless service across both the adult and older adult population. The plan is to implement agreed changes to the current system by April 2015.”
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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error