Mark-Anthony Summersett

“lack of recorded and/or shared information across all the agencies and teams with whom he had had contact, or to whom he was known, such that an accurate and fully reflective risk assessment was not achieved, exacerbated by delays in the triage process in the ED”

“Mr [name redacted] was not notified to Police as a missing person and nor were Police informed he had left the ED, despite them simultaneously raising a safeguarding risk via a Vulnerable Adult Single Combined Assessment of Risk Form”