Recurance · prevention of future deaths reports
Pre-inquest brief
Recurring hazard (see the quoted concerns)
The earlier warning
Roberto Bottello · 16 Feb 2024 · Fiona Wilcox, Inner West London
“That CNWL failed in its duty of candour in relation to provision of evidence in this case.”
judiciary.uk/…/roberto-bettello-prevention-of-future-deaths-rep…
What was promised
Stated action 1 · response to Roberto Bottello (16 Feb 2024) · stated timescale: none stated
“Concern number 6 - Psychiatric liaison nurses and psychiatric liaison doctors should have regard to diagnoses made by other doctors”
What recurred
- 14 Oct 2024 · Mia Gauci-Lamport · Karen Henderson · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Roberto Bottello · 16 Feb 2024
“That CNWL failed in its duty of candour in relation to provision of evidence in this case.”
Later · Mia Gauci-Lamport · 14 Oct 2024
“delay in fulfilling the Duty of Candour' obligations, ongoing staff training, ensuring robust procedures were in place alongside regular audits of clinical practice.”
What happened next
No web check of the stated actions has been published for this chain.