Recurance · prevention of future deaths reports
Pre-inquest brief
Inadequate information sharing between mental health and substance misuse teams
The earlier warning
Philip Denning · 16 Feb 2016 · Heidi Connor, Nottinghamshire
“As | understand it, the question of patients giving their consent for access to RiO records by CRI (and indeed for Nottinghamshire Healthcare to have access to CRI records) has not been considered by either organisation.”
judiciary.uk/prevention-of-future-death-reports/philip-denning
What was promised
No published response from NHS England was found for the earlier reports.
What recurred
- 9 Aug 2019 · Reece Lapina-Amarelle · Alan Craze · Identical hazard · confidence 0.92 (high)
The clearest link, quoted from both reports:
Earlier · Philip Denning · 16 Feb 2016
“As | understand it, the question of patients giving their consent for access to RiO records by CRI (and indeed for Nottinghamshire Healthcare to have access to CRI records) has not been considered by either organisation.”
Later · Reece Lapina-Amarelle · 9 Aug 2019
“(2) There is insufficient sharing of information between the Mental Health Trust and CGL (the Substance and Alcohol Misuse Service).”
What happened next
No web check of the stated actions has been published for this chain.