Skip to content
recurance

Matthew McManus

11 Feb 2022 · Coroner Anna Morris · Greater Manchester South

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

The coroner's concerns

  1. 1. lack of coordination of support and care for vulnerable adults

    “no -one saw [the deceased] as the vulnerable adult he was and addressed how his own complex needs were to be met”

Linked reports

Raised again laterJordan Clare26 Mar 2023 · 1 year 1 month later
Closely relatedConfidence 0.85 · high

This report

“no -one saw [the deceased] as the vulnerable adult he was and addressed how his own complex needs were to be met, either through a Care Act assessment or any other means.”

Later report

“She highlighted a long-standing gap in provision, which was described as extending across most if not all local authorities, for vulnerable adults who have complex needs, but who do not fall into the existing framework of social services, Care Act provision or formal mental health supervision.”
Original on judiciary.uk ↗
Full chain: Lack of coordinated support for vulnerable adults with complex needs

Responses

2022-0044-Response-from-Department-of-Health-and-Social-Care.pdf ↗· Department of Health and Social Care

Stated action · end of 2023/24

“we are, through the development and implementation in local areas of the Community Mental Health Framework (CMHF), working to improve the way people with mental health conditions access joined-up support across health and social care”

2022-0044-Response-from-Greater-Manchester-Combined-Authority.pdf ↗· Department of Health and Social Care

Stated action

“We can also confirm that we will, going forward, ensure that we continue to work together across the Greater Manchester health and care system so that changes in practice are actioned and reviewed.”
  • Built with
  • NVIDIA Nemotron Nano, Super and Ultra
  • Nebius Token Factory inference
  • Qwen3 Embedding 8B on Token Factory
  • Tavily follow-up web search
  • Postgres and pgvector search
  • Next.js site

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