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Recurance · prevention of future deaths reports

Pre-inquest brief

Lack of mental health service connection by probation officers

Organisation: His Majesty's Prison and Probation Service · Generated: 27 Oct 2026

Recurance · recurance.com/chains/4aff0f081c74c6c8

The earlier warning

Gary Leyland · 20 Nov 2019 · Joanne Kearsley, Manchester (North)

“However no attempt was made to contact any medical practitioner ie GP or mental health services.”

judiciary.uk/prevention-of-future-death-reports/gary-leyland

What was promised

A published response was found, but no specific action could be extracted with a verified quote.

What recurred

  • 18 May 2021 · Todd Salter · Nicola Mundy · Closely related · confidence 0.80 (moderate)

The clearest link, quoted from both reports:

Earlier · Gary Leyland · 20 Nov 2019

“However no attempt was made to contact any medical practitioner ie GP or mental health services.”

Later · Todd Salter · 18 May 2021

“The lack of knowledge of the Probation officer as to the services she could contact to obtain necessary mental health assessments.”

What happened next

No web check of the stated actions has been published for this chain.

Every quote is verified word for word against the original report on judiciary.uk. A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person.

Source: Courts and Tribunals Judiciary, Open Government Licence v3.0.