Recurance · prevention of future deaths reports
Pre-inquest brief
Inadequate discharge safety planning and communication
The earlier warning
Laura McRory · 13 Jun 2016 · Nadia Persaud, London (East)
“The report also did not to any extent consider whether there was an adequate safety plan in place on discharge.”
judiciary.uk/prevention-of-future-death-reports/laura-mcrory
What was promised
A published response was found, but no specific action could be extracted with a verified quote.
What recurred
- 30 Mar 2023 · Carol Robinson · Nadia Persaud · Closely related · confidence 0.85 (high)
The clearest link, quoted from both reports:
Earlier · Laura McRory · 13 Jun 2016
“The report also did not to any extent consider whether there was an adequate safety plan in place on discharge.”
Later · Carol Robinson · 30 Mar 2023
“There was no multi-disciplinary team discussion to ensure a safe community plan following discharge from the Home Treatment Team.”
What happened next
No web check of the stated actions has been published for this chain.