Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of communication and care coordination in placement decisions
The earlier warning
Hannah Bharaj · 24 Jul 2019 · Alison Mutch, Manchester (South)
“During the time that [the deceased] was placed at the Priory the mental health trust who placed her did not have any discussion with [the deceased], her family or the Priory regarding the placement.”
judiciary.uk/prevention-of-future-death-reports/hannah-bharaj
What was promised
No published response from Greater Manchester Mental Health NHS Foundation Trust was found for the earlier reports.
What recurred
- 4 May 2020 · Barry Preston · Alison Mutch · Closely related · confidence 0.80 (moderate)
The clearest link, quoted from both reports:
Earlier · Hannah Bharaj · 24 Jul 2019
“During the time that [the deceased] was placed at the Priory the mental health trust who placed her did not have any discussion with [the deceased], her family or the Priory regarding the placement.”
Later · Barry Preston · 4 May 2020
“The inquest heard that whilst he was being treated in acute settings there was no coordination or ownership of his care. It was unclear as to who was making decisions and assessing suitability of placement.”
What happened next
No web check of the stated actions has been published for this chain.