Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of follow up after discharge or missed appointment
The earlier warning
Suzanne Greenwood · 9 Oct 2015 · Alan Walsh, Manchester (West)
“There are no systems, either in private practice or in the Priory Hospital, Altrincham to contact patients following a failure to attend appointments”
What was promised
Stated action 1 · response to Suzanne Greenwood (9 Oct 2015) · stated timescale: 2015-12-04
“The amended Policy H105: Practising Privileges for Independent Doctors has been circulated electronically across the Healthcare Division with voting buttons to acknowledge receipt.”
judiciary.uk/…/2015-0370-Response-by-The-Priory_Redacted.pdf
What recurred
- 11 Aug 2016 · Anthony Preston · Robert Chapman · Closely related · confidence 0.85 (high)
The clearest link, quoted from both reports:
Earlier · Suzanne Greenwood · 9 Oct 2015
“There are no systems, either in private practice or in the Priory Hospital, Altrincham to contact patients following a failure to attend appointments”
Later · Anthony Preston · 11 Aug 2016
“(3) There was no immediate follow up by e mail or fax to the Crisis Team to notify the discharge, and the fact that Mr [name redacted] was at high risk because of the anxiety created when he was living at home.”
What happened next
No web check of the stated actions has been published for this chain.