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recurance

Laura McRory

13 Jun 2016 · Coroner Nadia Persaud · London (East)

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

The coroner's concerns

  1. 1. employment at North East London Foundation Trust

    “Mrs [name redacted] was employed by the North East London Foundation Trust”
  2. 2. lack of clear process for mental health care

    “need for a clear process to be in place when NELFT staff require mental health care and express reservations about sharing information with colleagues”
  3. 3. inadequate safety plan on discharge

    “an adequate safety plan in place on discharge”
  4. 4. lack of prompt referral system to other Trusts

    “system in place for staff to be promptly referred to a different Trust where they present with mental health difficulties and request services from a different Trust”

Linked reports

Raised again laterCarol Robinson30 Mar 2023 · 6 years 10 months later
Closely relatedConfidence 0.85 · high

This report

“The report also did not to any extent consider whether there was an adequate safety plan in place on discharge.”

Later report

“There was no multi-disciplinary team discussion to ensure a safe community plan following discharge from the Home Treatment Team.”
Original on judiciary.uk ↗
Full chain: Inadequate discharge safety planning and communication

Responses

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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