Recurance · prevention of future deaths reports
Pre-inquest brief
Inadequate discharge medication risk assessment
The earlier warning
Hannah Bharaj · 24 Jul 2019 · Alison Mutch, Manchester (South)
“There was no clear evidence of consideration of discharge medication and risk around prescribing of medication post discharge from the EDU.”
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
- 25 Sept 2023 · Shaun Houghton · Alan Walsh · Closely related · confidence 0.80 (moderate)
The clearest link, quoted from both reports:
Earlier · Hannah Bharaj · 24 Jul 2019
“There was no clear evidence of consideration of discharge medication and risk around prescribing of medication post discharge from the EDU.”
Later · Shaun Houghton · 25 Sept 2023
“No medication was prescribed or dispensed to the Deceased at the time of self-discharge.”
What happened next
No web check of the stated actions has been published for this chain.