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recurance

2018-0405

21 Dec 2018 · Coroner John Ellery · Shropshire, Telford and Wrekin

A similar concern from this report was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. delay in IAPT counselling

    “Delay in IAPT counselling”
  2. 2. confusing electronic records

    “electronic records were hard for a lay person to follow or understand particularly when said to have been updated or validated with the potential for original entries to have been overwritten”

Linked reports

Raised again laterJamie Pilkington22 Feb 2024 · 5 years 2 months later
Closely relatedConfidence 0.85 · high

This report

“Risk assessment and progress notes. a) The electronic records were hard for a lay person to follow or understand”

Later report

“During a Mental Health triage with the the Mental Health and Social Inclusion Hub on 8th February 2023 there was a failure to complete the Risk Assessment in relation to his risk of suicide.”
Original on judiciary.uk ↗
Full chain: Risk of suicide in mental health care

Responses

2018-0405-Response-from-Midlands-Partnership-NHS-Foundation-Trust.pdf ↗· Midlands Partnership NHS Foundation Trust

Stated action · 14th November 2017

“Following discussions within the teams involved, I ani now in a position to respond to your specific concerns, where by you. stated you heard at the inquest during the course of the evidence: 1. Delay in IAPT Counselling After turned 18 she moved to Adult Mental Health Services. She had parallel contact with her GP surgery in Shortly before 18th birthday according to the MPFT Clinical Review I (page 9 of 33), was referred to Improving Access to Psychological Therapies (IAPT) . by'the Access Team for”
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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error