Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of mental capacity assessment and risk assessment in emergency settings
The earlier warning
Maud Patrick · 8 May 2017 · Nigel Meadows, Manchester (City)
“There was no apparent consideration to the issue of whether or not the deceased had mental capacity from admission to A & E and transfer to AMU.”
judiciary.uk/prevention-of-future-death-reports/maud-patrick
What was promised
No published response from Care Quality Commission was found for the earlier reports.
What recurred
- 21 Feb 2025 · Paul Dunne · Andrew Harris · Closely related · confidence 0.80 (moderate)
The clearest link, quoted from both reports:
Earlier · Maud Patrick · 8 May 2017
“There was no apparent consideration to the issue of whether or not the deceased had mental capacity from admission to A & E and transfer to AMU.”
Later · Paul Dunne · 21 Feb 2025
“A mental health liaison nurse, who now is manager of these nurses, did not recognize the patient as high risk, despite his having been persuaded to attend A&E by the police against his will,”
What happened next
No web check of the stated actions has been published for this chain.