Physical health check delays mental health referrals

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. ?Every quote shown was checked by code to appear word for word in the original report.

• 2014 → 2022Eliot Harris8 years 1 month after Graeme Kidd · different coronerClosely relatedConfidence 0.90 · high

  Closely relatedConfidence 0.90 · high

  Both reports highlight problems with ensuring timely physical health checks for patients with mental health needs. The earlier report notes delays due to mandatory checks before referral, while the later report points out uncertainty about current processes to carry out those checks.

  Graeme Kidd · 23 Jul 2014

  “GPs are unable to refer patients (including patients recently having involvement with mental health services) directly to Mental Health Service without first undertaking a physical health check, thereby causing delay in cases requiring urgent referral”

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  Eliot Harris · 22 Aug 2022

  “It is not clear from the evidence what is now in place to ensure that relevant and requested physical health checks are carried out”

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  Earlier report in the app · Later report in the app

• 2014 → 2024Nigel Hammond10 years 3 months after Graeme Kidd · different coronerClosely relatedConfidence 0.90 · high

  Closely relatedConfidence 0.90 · high

  Both reports highlight a barrier that prevents mental health professionals from making immediate referrals to specialist services, causing dangerous delays. The earlier barrier involves GPs needing a physical health check before referral; the later barrier involves AMHPs being unable to refer directly to the Crisis Resolution and Home Treatment Team.

  Graeme Kidd · 23 Jul 2014

  “GPs are unable to refer patients (including patients recently having involvement with mental health services) directly to Mental Health Service without first undertaking a physical health check, thereby causing delay”

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  Nigel Hammond · 9 Oct 2024

  “an AMHP, despite their role in the coordination of the mental health assessment and admission to hospital of a patient, were not permitted to make direct referrals to the emergency Crisis Resolution and Home Treatment Team.”

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  Earlier report in the app · Later report in the app

• 2017 → 2024Nigel Hammond7 years 8 months after David Read · different coronerClosely relatedConfidence 0.85 · high

  Closely relatedConfidence 0.85 · high

  Both reports highlight barriers in the referral pathway that delay or prevent timely access to the Crisis Resolution and Home Treatment Team. The earlier case shows excessive waiting times after referral; the later case shows a lack of authority to make direct referrals, causing a similar delay in crisis intervention.

  David Read · 8 Feb 2017

  “On 25 February 2016 Mr [name redacted] was referred by a Social Worker at Herring House, where he was residing, to the Community Mental Health Team and he was given an appointment for 21 March 2016, under 4 weeks from the date of the initial referral.”

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  Nigel Hammond · 9 Oct 2024

  “However, the court was told that an AMHP, despite their role in the coordination of the mental health assessment and admission to hospital of a patient, were not permitted to make direct referrals to the emergency Crisis Resolution and Home Treatment Team.”

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  Stated action in the response to the earlier report

  “The service user will be given the phone number for the duty worker so if they experience change in their circumstance before attending their appointment they can speak to someone.”

  Earlier report in the app · Later report in the app

• 2024 → 2024Nigel Hammond6 months after Ellen Woolnough · different coronerClosely relatedConfidence 0.80 · moderate

  Closely relatedConfidence 0.80 · moderate

  Both reports concern problems with accessing the Crisis Rehabilitation/Home Treatment Team (CRHTT) – one focuses on the adequacy of the team's response to urgent referrals, the other on barriers preventing direct referral by approved mental health professionals.

  Ellen Woolnough · 28 Mar 2024

  “The adequacy of NSFT's Crisis Rehabilitation Home Treatment Team (CRHTT) response to an urgent referral, in particular; risk assessment, safety planning and decision making concerning the downgrading of referrals.”

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  Nigel Hammond · 9 Oct 2024

  “However, the court was told that an AMHP, despite their role in the coordination of the mental health assessment and admission to hospital of a patient, were not permitted to make direct referrals to the emergency Crisis Resolution and Home Treatment Team.”

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  Earlier report in the app · Later report in the app