Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of communication between hospital and care home regarding mental capacity
The earlier warning
Lillian Robinson · 26 Jan 2014 · Martin Flemimg, Surrey
“Lack of communication between hospital and home re mental capacity assessment”
judiciary.uk/prevention-of-future-death-reports/lillian-robinson
What was promised
No published response from Surrey County Council was found for the earlier reports.
What recurred
- 22 Dec 2023 · Barbara Woodman · Darren Stewart · Closely related · confidence 0.80 (moderate)
The clearest link, quoted from both reports:
Earlier · Lillian Robinson · 26 Jan 2014
“Lack of communication between hospital and home re mental capacity assessment”
Later · Barbara Woodman · 22 Dec 2023
“staff speaking with [REDACTED] on these occasions failed to think laterally or innovatively as to how to collect important, relevant collateral history”
What happened next
No web check of the stated actions has been published for this chain.