David Walker

“Between end of May 2020 to November 2020, Mr [name redacted] was allocated four different care co-ordinators. There was evidence that only one of these care co- ordinators established a therapeutic relationship with Mr [name redacted]. Many of the care co-ordinators were locum staff.”

“On admission to hospital on the 10th November 2020 no steps were taken to seek collateral information from other Trusts involved in the care of Mr [name redacted]. Mr [name redacted] had been under the care of East London Foundation Trust in July and August 2020 and this Trust held a great deal of vital risk information that should have been available to the North East London Foundation Trust team. There was no evidence that the admission check list included the requirement for collateral healthcare information”