Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of audit and standard care plan implementation
The earlier warning
Wayne Millett · 18 Feb 2020 · Christopher Morris, Manchester South
“The court heard differing evidence from staff working at The Priory Hospital, Cheadle and from the Peripatetic Director of Clinical Services as to what the organisation's expectations were in respect of care plans, and specifically the degree of adherence which were required to them.”
judiciary.uk/prevention-of-future-death-reports/wayne-millett
What was promised
Stated action 1 · response to Wayne Millett (18 Feb 2020) · stated timescale: none stated
“The SUI report and report convey that overall, the care and treatment provided by staff to Mr [name redacted], a long-term patient who had been at the hospital since November 2013 was of an acceptable standard.”
What recurred
- 12 Aug 2024 · David Thompson · Joanne Kearsley · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Wayne Millett · 18 Feb 2020
“The court heard differing evidence from staff working at The Priory Hospital, Cheadle and from the Peripatetic Director of Clinical Services as to what the organisation's expectations were in respect of care plans, and specifically the degree of adherence which were required to them.”
Later · David Thompson · 12 Aug 2024
“There was no evidence that the four standard care plans had been opened during Mr [name redacted] inpatient stay.”
What happened next
No web check of the stated actions has been published for this chain.