Lack of post discharge support for high risk patients
Leicestershire Partnership NHS Trust received 2 coroners' reports about this hazard between 11 Aug 2016 and 13 Jun 2024.
They came from 2 different coroners. A similar concern was raised again 1 time after the first warning.
No published response from Leicestershire Partnership NHS Trust was found for the earlier reports.
The story, report by report
Spacing grows with the time between reports.
“(4) As aresult, Mr [name redacted] and his main carer | left without support at a time when he was at high risk.”
Original on judiciary.uk ↗ No published response from Leicestershire Partnership NHS Trust was found for this report.
- 7 years 10 months later
Raised again · 1st time
Christopher Larsen↗
13 Jun 2024 · Isobel Thistlethwaite · Rutland and North Leicestershire
Closely relatedConfidence 0.90 · higha different coroner“Discharge Mr [name redacted] was discharged from the care of LPT on 3 December 2022, there was no planned support for Mr [name redacted] post-discharge other than some counselling which was due to start three weeks later.”
Original on judiciary.uk ↗ Leicestershire Partnership NHS Trust responded.Response (PDF) ↗Response (PDF) ↗
- All reports to Leicestershire Partnership NHS Trust
Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals.
2016 → 2024Christopher Larsen7 years 10 months after Anthony Preston · different coronerClosely relatedConfidence 0.90 · high
Closely relatedConfidence 0.90 · highBoth reports highlight that patients assessed as high risk were discharged without adequate post‑discharge support, leaving them vulnerable. The earlier case involved missing documentation of a crisis team call; the later case involved absent planned support and questionable risk downgrading.
Anthony Preston · 11 Aug 2016
“(4) As aresult, Mr [name redacted] and his main carer | left without support at a time when he was at high risk.”
Original on judiciary.uk ↗ Christopher Larsen · 13 Jun 2024
“Discharge Mr [name redacted] was discharged from the care of LPT on 3 December 2022, there was no planned support for Mr [name redacted] post-discharge other than some counselling which was due to start three weeks later.”
Original on judiciary.uk ↗
No published response from Leicestershire Partnership NHS Trust was found for this report.
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
- Each report's concerns were extracted by Nemotron 3 Nano on Nebius Token Factory, each with a quote copied from the report.
- Concerns from reports to Leicestershire Partnership NHS Trust at least six months apart were compared by meaning (Qwen3 embeddings) and wording (TF-IDF).
- The closest pairs were judged by Nemotron 3 Super with reasoning on. Only identical or closely related, with confidence of at least 0.70, are shown.
- Every quote was checked by code as an exact substring of the original text. Names of staff and family are redacted, and the deceased are named by report title only.
| Link | Meaning | Wording | Judge | Coroner |
|---|---|---|---|---|
| 2016 → 2024 | 0.71 | 0.17 | Closely related · 0.90 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
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This shows that a similar concern was raised again after an earlier report. It does not say why, and it is not a finding about any organisation or person. To report an error, see the corrections route.