Masood Hamid: Prevention of futrue deaths report
20 Aug 2025 · Coroner Joanne Kearsley · Manchester North
The coroner's concerns
1. distress to a patient with dementia and physical health issues
“lack of planning or consideration between all those involved in his care as to the best time and the least distressing way in which Mr [name redacted] could be transported to the hospital”
2. ineffective learning to prevent future deaths
“ineffective investigation into the death of a patient who died in the care of the state whilst detained under the Mental Health Act 1983”
3. prolonged distress and agitation
“ineffective communication between GMP and NWAS between 21:28 hours and 23:45 which delayed the deployment of officers to assist NWAS staff with the transportation of the deceased”