Recurance · prevention of future deaths reports
Pre-inquest brief
Sequential treatment of dual diagnosis
The earlier warning
Marcus Hance · 7 Jun 2018 · Guy Davies, Isles of Scilly
“The approach to cases of dual diagnosis, that substance misuse should be addressed before any mental health treatment could proceed.”
judiciary.uk/prevention-of-future-death-reports/marcus-hance
What was promised
Stated action 1 · response to Marcus Hance (7 Jun 2018) · stated timescale: September 2018
“the Trust will be working in partnership with NHS Kernow as outlined in their response”
What recurred
- 11 Feb 2019 · Paul Gillam · Guy Davies · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Marcus Hance · 7 Jun 2018
“The approach to cases of dual diagnosis, that substance misuse should be addressed before any mental health treatment could proceed.”
Later · Paul Gillam · 11 Feb 2019
“The operation of the Cornwall dual diagnosis policy and the interface between Addaction and CMHT.”
What happened next
No web check of the stated actions has been published for this chain.