Recurance · prevention of future deaths reports
Pre-inquest brief
The earlier warning
John Haines · 16 Nov 2017 · Lisa Hashmi, Manchester (North)
“During the course of the evidence it became apparent that mental health in-patients still do not have access to therapy from a qualified Psychologist, despite the fact that this has been raised in previous Regulation 28 PFD Forms.”
What was promised
Stated action 1 · response to John Haines (16 Nov 2017) · stated timescale: May 2017
“The CCG commissioned a new Primary Care Mental Health Pathway during 2016/17, which mobilised in May 2017. The model has been developed to respond to the local population needs, preparing service users to access therapy in order to optimise recovery performance. The service is subject to robust a performance dependent payment framework which provides assurance of performance delivery.”
judiciary.uk/…/2017-0402-Response-by-Heywood-Middleton-and-Roch…
Stated action 2 · response to Stephen Kennedy (7 Feb 2019) · stated timescale: 2020/21
“On the availability of beds in the acute mental health sector, we are aware that the number of mental health beds overall have reduced and this is in large part due to the growth of care in the community. It may also be of interest to note that mental health bed occupancy rates have remained stable at between 87.1 per cent and 90.8 per cent (from Quarter 1, 2010-11 to Quarter 3, 2018-19), and that latest data for Quarter 3, 2018-19 shows a bed occupancy of 88.5 per cent. However, it remains the”
judiciary.uk/…/2019-0039-Response-by-Department-of-Health-and-S…
What recurred
- 7 Feb 2019 · Stephen Kennedy · Louise Hunt · Closely related · confidence 0.90 (high)
- 4 Feb 2022 · Joy Burgess · Chris Morris · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Stephen Kennedy · 7 Feb 2019
“There were periods when he was under the care of the community mental health team but at this time he remained on a long waiting list for psychological services.”
Later · Joy Burgess · 4 Feb 2022
“The Court heard that patients continue to experience lengthy waits if referred for psychological therapies, both locally and nationally. In the Tameside area, the current average wait was thought to be around one year from referral.”
What happened next
No evidence found either way · stated action 1
“Benefits of Mental Health Treatment in Primary Care”
Benefits of Mental Health Treatment in Primary Care - NeuroFlow · neuroflow.com/benefits-mental-health-treatment-primary-care
“Evolving Models of Behavioral Health Integration in Primary Care”
[PDF] Evolving Models of Behavioral Health Integration in Primary Care · milbank.org/…/EvolvingCare.pdf
No evidence found does not mean the action did not happen.
No evidence found either way · stated action 2
“Since 2020 an additional 1,218 additional new acut”
Acute Hospital Inpatient Bed Capacity Expansion Plan · assets.gov.ie/294828/9ffb3b62-6e30-4b08-980a-54e3aaa30ed1.pdf
No evidence found does not mean the action did not happen.