Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of care coordinator for continuity of support
The earlier warning
Robert Anstice · 16 Jan 2015 · Jacqueline Lake, Norfolk
“On 12 August 2014 Psychiatrist recommended Mr [name redacted] would benefit from a Support Worker and/or Care Co-Ordinator - this was not actioned”
judiciary.uk/prevention-of-future-death-reports/robert-anstice
What was promised
No published response from Norfolk and Suffolk NHS Foundation Trust was found for the earlier reports.
What recurred
- 6 Aug 2015 · Thomas Thurling · Jacqueline Lake · Closely related · confidence 0.80 (moderate)
The clearest link, quoted from both reports:
Earlier · Robert Anstice · 16 Jan 2015
“On 12 August 2014 Psychiatrist recommended Mr [name redacted] would benefit from a Support Worker and/or Care Co-Ordinator - this was not actioned”
Later · Thomas Thurling · 6 Aug 2015
“Care Co-ordinator was on planned and unplanned leave from end September 2014 until time of Mr [name redacted] death. Her Line Managers were aware of this continuous absence”
What happened next
No web check of the stated actions has been published for this chain.