Ursula Keogh
21 Nov 2018 · Coroner Martin Fleming · West Yorkshire (West)
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. inappropriate referral of at-risk students to school
“e To review the current practice of referral by GP to the school for consideration as to the appropriateness of referral to CAHMS”
2. communication breakdown between health and education
“e Consider improving communications between professionals, particularly health and education to eliminate contradictions offered in the advice”
3. delayed preventive measures at North Bridge
“e Consider the appropriateness of fast tracking the implementation of preventative measures currently under consideration at North Bridge Halifax”
Linked reports
Identical hazardConfidence 0.90 · high
Earlier report
“To consider the appropriateness of taking urgent preventative measures on the bridge in order to prevent recurrence.”
This report
“Consider the appropriateness of fast tracking the implementation of preventative measures currently under consideration at North Bridge Halifax”