Callum Hargreaves (5)
29 May 2025 · Coroner Andrew Cox · Cornwall and Isles of Scilly
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. risk of harm to Callum
“whether [the deceased] presented with an imminent and significant risk of harm to justify a short-term admission into hospital as is provided for in NICE guidance”
2. lack of notification of mother
“[the deceased] was asked whether he wanted his mother (who he described as his rock) notified of his discharge.”
3. incomplete MH 1 form
“Nearest Relative details on the MH 1 form were not completed”
4. inadequate exploration of mother involvement
“obvious gaps' in the record keeping and that as [the deceased]'s mother was one of the few levers available to the assessing team, [the deceased]'s decision not to involve her should have been explored further”
Linked reports
Closely relatedConfidence 0.85 · high
Earlier report
“A failure to advise [the deceased], as Nearest Relative, of her statutory right to request [REDACTED] assessment under the MHA.”
This report
“The Nearest Relative details on the MH 1 form were not completed.”