Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of access to qualified psychologist during home treatment team care
The earlier warning
Janette Insley · 16 Dec 2014 · Lisa Hashmi, Manchester (North)
“staff were unable to make any such referral for inpatients due to lack of i) availability of suitably qualified practitioners and ii) resources.”
judiciary.uk/prevention-of-future-death-reports/janette-insley
What was promised
A published response was found, but no specific action could be extracted with a verified quote.
What recurred
- 16 Nov 2017 · John Haines · Lisa Hashmi · Identical hazard · confidence 0.95 (high)
The clearest link, quoted from both reports:
Earlier · Janette Insley · 16 Dec 2014
“staff were unable to make any such referral for inpatients due to lack of i) availability of suitably qualified practitioners and ii) resources.”
Later · John Haines · 16 Nov 2017
“patients cannot access a qualified Psychologist whilst under the care of the Home Treatment Team (HTT') etc.”
What happened next
No evidence found either way · a stated action in a response
“Benefits of Mental Health Treatment in Primary Care”
Benefits of Mental Health Treatment in Primary Care - NeuroFlow · neuroflow.com/benefits-mental-health-treatment-primary-care
“Evolving Models of Behavioral Health Integration in Primary Care”
[PDF] Evolving Models of Behavioral Health Integration in Primary Care · milbank.org/…/EvolvingCare.pdf
No evidence found does not mean the action did not happen.