Recurance · prevention of future deaths reports
Pre-inquest brief
Premature discharge from community mental health services
The earlier warning
Marcus Hance · 7 Jun 2018 · Guy Davies, Isles of Scilly
“The discharge from CMHT on failing to attend two appointments.”
judiciary.uk/prevention-of-future-death-reports/marcus-hance
What was promised
Stated action 1 · response to Marcus Hance (7 Jun 2018) · stated timescale: December 2018
“To review the approach taken in cases of non-attendance at mental health appointments, and whether attempts to contact service users should be undertaken or alternatively to involve the police if there are concerns for the individuals welfare..”
What recurred
- 11 Nov 2021 · Emma Burbury · Andrew Cox · Closely related · confidence 0.85 (high)
The clearest link, quoted from both reports:
Earlier · Marcus Hance · 7 Jun 2018
“The discharge from CMHT on failing to attend two appointments.”
Later · Emma Burbury · 11 Nov 2021
“clients referred to the Trust were too easily discharged”
What happened next
No web check of the stated actions has been published for this chain.