Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of coordinated support for vulnerable adults with complex needs
The earlier warning
Matthew McManus · 11 Feb 2022 · Anna Morris, Greater Manchester South
“no -one saw [the deceased] as the vulnerable adult he was and addressed how his own complex needs were to be met, either through a Care Act assessment or any other means.”
judiciary.uk/…/matthew-mcmanus-prevention-of-future-deaths-repo…
What was promised
Stated action 1 · response to Matthew McManus (11 Feb 2022) · stated timescale: none stated
“We can also confirm that we will, going forward, ensure that we continue to work together across the Greater Manchester health and care system so that changes in practice are actioned and reviewed.”
judiciary.uk/…/2022-0044-Response-from-Greater-Manchester-Combi…
Stated action 2 · response to Matthew McManus (11 Feb 2022) · stated timescale: end of 2023/24
“we are, through the development and implementation in local areas of the Community Mental Health Framework (CMHF), working to improve the way people with mental health conditions access joined-up support across health and social care”
judiciary.uk/…/2022-0044-Response-from-Department-of-Health-and…
What recurred
- 26 Mar 2023 · Jordan Clare · Adrian Farrow · Closely related · confidence 0.85 (high)
The clearest link, quoted from both reports:
Earlier · Matthew McManus · 11 Feb 2022
“no -one saw [the deceased] as the vulnerable adult he was and addressed how his own complex needs were to be met, either through a Care Act assessment or any other means.”
Later · Jordan Clare · 26 Mar 2023
“She highlighted a long-standing gap in provision, which was described as extending across most if not all local authorities, for vulnerable adults who have complex needs, but who do not fall into the existing framework of social services, Care Act provision or formal mental health supervision.”
What happened next
No web check of the stated actions has been published for this chain.