Recurance · prevention of future deaths reports
Pre-inquest brief
Delayed mental health bed allocation leading to patient deterioration
The earlier warning
Stephanie Daniels · 13 Dec 2013 · Nigel Meadows, Manchester City
“MHSC say that following the death of the deceased, a new policy has been introduced so that there is no waiting time at all for the allocation of a bed”
What was promised
A published response was found, but no specific action could be extracted with a verified quote.
What recurred
- 7 Aug 2016 · Rohan Fitzsimons · Peter Harrowing · Identical hazard · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Stephanie Daniels · 13 Dec 2013
“MHSC say that following the death of the deceased, a new policy has been introduced so that there is no waiting time at all for the allocation of a bed”
Later · Rohan Fitzsimons · 7 Aug 2016
“The CCG should review urgently its commissioning of in-patient mental health beds so as to ensure, in so far as reasonably practicable, that a bed is available when a person who satisfies the criteria for a Mental Health Act Assessment needs to be detained following that assessment.”
What happened next
No web check of the stated actions has been published for this chain.