Recurance · prevention of future deaths reports
Pre-inquest brief
Discharge without family involvement in planning
The earlier warning
Charlotte Grace · 29 Oct 2019 · Nicholas Shaw, Cumbria
“[the deceased] was discharged despite there being no input from those to whose care she was being entrusted.”
judiciary.uk/prevention-of-future-death-reports/charlotte-grace
What was promised
A published response was found, but no specific action could be extracted with a verified quote.
What recurred
- 2 Feb 2023 · Daniel Futers · Derek Winter · Closely related · confidence 0.80 (moderate)
- 12 May 2023 · Odessa Carey · Andrew Hetherington · Closely related · confidence 0.80 (moderate)
- 7 Jun 2023 · Brenda Shields · Nicholas Shaw · Closely related · confidence 0.85 (high)
The clearest link, quoted from both reports:
Earlier · Charlotte Grace · 29 Oct 2019
“[the deceased] was discharged despite there being no input from those to whose care she was being entrusted.”
Later · Brenda Shields · 7 Jun 2023
“[the deceased] was discharged without any planned follow up. Her family were not involved in the discharge process despite assurances that they would be,”
What happened next
No web check of the stated actions has been published for this chain.