Recurance · prevention of future deaths reports
Pre-inquest brief
Delay in mental health act assessment
The earlier warning
Sandra Bodrozic · 24 Nov 2014 · ME Hassell, London Inner (North)
“there seemed to be a general acceptance by the team that they will usually take several days to take place”
judiciary.uk/prevention-of-future-death-reports/sandra-bodrozic
What was promised
Stated action 1 · response to Sandra Bodrozic (24 Nov 2014) · stated timescale: none stated
“the Clinical Director for the Acute Division has clarified and disseminate the Trust's bed management policy to its employees emphasising that, 'any patient requiring a bed will be offered admission regardless of their Mental Health Act status'”
What recurred
- 29 Jan 2020 · Thiago Araujo · Graeme Irvine · Identical hazard · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Sandra Bodrozic · 24 Nov 2014
“there seemed to be a general acceptance by the team that they will usually take several days to take place”
Later · Thiago Araujo · 29 Jan 2020
“In evidence the community recovery team indicated that a factor in their inaction was the knowledge that arranging a section 135 mental health act 1983 warrant and assessment would take two weeks.”
What happened next
No web check of the stated actions has been published for this chain.