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Recurance · prevention of future deaths reports

Pre-inquest brief

Insufficient family involvement in mental health care processes

Organisation: Department of Health and Social Care · Generated: 26 Oct 2026

Recurance · recurance.com/chains/9e59c83020bee54e

The earlier warning

Steven Marsland · 13 Dec 2019 · Alison Mutch, Manchester (South)

“There was no clear policy about how a family could be effectively engaged by the CMHT;”

judiciary.uk/prevention-of-future-death-reports/steven-marsland

What was promised

No published response from Department of Health and Social Care was found for the earlier reports.

What recurred

  • 19 May 2021 · Richard Burgess · Derek Winter · Closely related · confidence 0.90 (high)

The clearest link, quoted from both reports:

Earlier · Steven Marsland · 13 Dec 2019

“There was no clear policy about how a family could be effectively engaged by the CMHT;”

Later · Richard Burgess · 19 May 2021

“- a continuous engagement with the family in the "triangle of care", including regular communication and updating life stories;”

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.