Recurance · prevention of future deaths reports
Pre-inquest brief
Inadequate family communication and documentation
The earlier warning
Natasha Raghoo · 6 Mar 2014 · David Skipp, West Sussex
“Communications between staff and family were haphazard the policy of involving family in care planning was not clear.”
judiciary.uk/prevention-of-future-death-reports/natasha-raghoo
What was promised
A published response was found, but no specific action could be extracted with a verified quote.
What recurred
- 21 Mar 2018 · Edward Lundy · Tony Williams · Closely related · confidence 0.78 (moderate)
The clearest link, quoted from both reports:
Earlier · Natasha Raghoo · 6 Mar 2014
“Communications between staff and family were haphazard the policy of involving family in care planning was not clear.”
Later · Edward Lundy · 21 Mar 2018
“That upon [the deceased]'s discharge into the care of his family, there should have been independent consultation with the family and this should have been documented with the tisks being explicitly discussed.”
What happened next
No web check of the stated actions has been published for this chain.