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Recurance · prevention of future deaths reports

Pre-inquest brief

Delayed mental health assessment in emergency unit

Organisation: Camden and Islington NHS Foundation Trust · Generated: 27 Oct 2026

Recurance · recurance.com/chains/ab9d0172575d7d80

The earlier warning

Matthew Groom · 12 Nov 2015 · ME Hassell, London Inner (North)

“Most importantly, [name redacted] waited four hours in the emergency unit before he saw a mental healthcare professional for the first time.”

judiciary.uk/prevention-of-future-death-reports/matthew-groom

What was promised

Stated action 1 · response to Matthew Groom (12 Nov 2015) · stated timescale: none stated

“We have strengthened the direct mental health referral protocol from Whittington Emergency Department (ED) triage to the Camden and Islington Mental Health Liaison Team Service, so that patients attending Whittington Emergency who need to see a mental health professional can be immediately and directly referred. This mental health referral protocol was in place before your inquest into Mr [name redacted] death, but has since been significantly strengthened in that the patient themselves can now trigger”

judiciary.uk/…/Matthew-Groom-Response.pdf

Stated action 2 · response to Matthew Groom (12 Nov 2015) · stated timescale: none stated

“We have strengthened the direct mental health referral protocol from Whittington Emergency Department (ED) triage to the Camden and Islington Mental Health Liaison Team Service, so that patients attending Whittington Emergency who need to see a mental health professional can be immediately and directly referred. This mental health referral protocol was in place before your inquest into Mr [name redacted] death, but has since been significantly strengthened in that the patient themselves can now trigger”

judiciary.uk/wp-content/uploads/2015/11/2015-0503-Response.pdf

What recurred

  • 24 Aug 2017 · Jonathan Meaney · ME Hassell · Closely related · confidence 0.85 (high)

The clearest link, quoted from both reports:

Earlier · Matthew Groom · 12 Nov 2015

“Most importantly, [name redacted] waited four hours in the emergency unit before he saw a mental healthcare professional for the first time.”

Later · Jonathan Meaney · 24 Aug 2017

“Mr [name redacted] waited in the emergency unit for 40 hours and so it was unsurprising that he was then keen to go home.”

What happened next

No web check of the stated actions has been published for this chain.

Every quote is verified word for word against the original report on judiciary.uk. A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person.

Source: Courts and Tribunals Judiciary, Open Government Licence v3.0.