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Recurance · prevention of future deaths reports

Pre-inquest brief

Lack of internal review and investigation shortcomings

Organisation: Manchester Mental Health NHS Trust · Generated: 27 Oct 2026

Recurance · recurance.com/chains/b3e20e43afac31dc

The earlier warning

Janice Keelan · 19 Feb 2019 · Nigel Meadows, Manchester (City)

“It does not appear that following the death of the deceased, there has been any internal review or reflection by MCC about the processes involved in this case”

judiciary.uk/prevention-of-future-death-reports/janice-keelan

What was promised

A published response was found, but no specific action could be extracted with a verified quote.

What recurred

  • 23 Dec 2019 · Kieran Hubbard · Nigel Meadows · Closely related · confidence 0.80 (moderate)

The clearest link, quoted from both reports:

Earlier · Janice Keelan · 19 Feb 2019

“It does not appear that following the death of the deceased, there has been any internal review or reflection by MCC about the processes involved in this case”

Later · Kieran Hubbard · 23 Dec 2019

“There were failures in the post death investigation process which may result In the true circumstances not being tdentified and steps taken to prevent continuation or recurrence of circumstances which may cause or contribute to a future death”

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.