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recurance
4
reports received
2
with a published response found
0
recurrence chains
0
reports in those chains
  • Sharon Kelly24 Nov 2020

    Coroner Caroline Beasley-Murray · Essex

    Response
  • Zak Farmer24 Sept 2020

    Coroner Caroline Beasley-Murray · Essex

    No published response from this organisation found.

  • Kelly Campbell9 Aug 2018

    Coroner Caroline Beasley-Murray · Essex

    No published response from this organisation found.

  • Terence Pimm14 Aug 2017

    Coroner Caroline Beasley-Murray · Essex · in 1 recurrence link

    Response · 6 stated actions
    2017-0217-Response-by-Essex-Partnership-University-NHS-Trust_Redacted.pdf ↗
    “All health-based place of safety calls are directed now through the new Trust's call centre. This means that all calls are recorded and documented on a call-log by trained call-handlers.”
    “All patients admitted to health-based places of safety have individual patient records detailing potential risks, assessment of presentation and copies of documentation from other agencies. Further work is continuing on electronic record-keeping processes in regard to this issue.”
    “The new Trust has taken steps to reinforce to staff the importance of family involvement and ongoing communications. A detailed debrief in this respect was undertaken with the staff involved in Mr [name redacted] care. Additionally, audits on this issue are being undertaken via the new Trust's staff supervision process.”
    “The information-sharing concordat has been reinforced. Additionally, the new Trust holds localised police liaison emergency care meetings and will ensure that the probation service is invited to improve information sharing in this regard.”
    “The new Trust has launched a new street-triage team in which mental health practitioners work together with dedicated police officers. We anticipate that this initiative will also help significantly to improve information-sharing and coordination between our services.”
    “A new flowchart is in place now for staff, which details clearly which actions to take in situations where people are subject to a warrant. Training on this is underway for all our staff working in mental health accident and emergency teams and mental health criminal justice teams.”
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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