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Recurance · prevention of future deaths reports

Pre-inquest brief

Lack of discharge plan responsibility and unclear care coordinator allocation

Organisation: Essex Partnership University NHS Foundation Trust · Generated: 26 Oct 2026

Recurance · recurance.com/chains/bd3af04cf9d559f0

The earlier warning

Stephanie Moyce · 25 Feb 2022 · Sean Horstead, Essex

“Evidence confirmed a conspicuous lack of clarity as to who, amongst EPUT clinicians/staff, is responsible for ensuring that a clear and comprehensive discharge plan is formulated”

judiciary.uk/…/stephanie-moyce-prevention-of-future-deaths-repo…

What was promised

No published response from Essex Partnership University NHS Foundation Trust was found for the earlier reports.

What recurred

  • 17 Mar 2025 · Darren Turner · Sean Horstead · Closely related · confidence 0.80 (moderate)

The clearest link, quoted from both reports:

Earlier · Stephanie Moyce · 25 Feb 2022

“Evidence confirmed a conspicuous lack of clarity as to who, amongst EPUT clinicians/staff, is responsible for ensuring that a clear and comprehensive discharge plan is formulated”

Later · Darren Turner · 17 Mar 2025

“(d) Failure to allocate a Care Coordinator as required under the Care Programme Approach (CPA) and as mandated by EPUT policy.”

What happened next

No evidence found either way · a stated action in a response

“Welcome to this uh meeting of the Essics Integrated Care Board. Um uh warm [0:21] welcome to the members of the public who've joined us here in Southend. Um and also to those who've joined us [0:29] online, a polite reminder to everyone that this is a meeting which is held”

Essex Integrated Care Board - Board Meeting - 15 October 2026 · youtube.com/watch?v=MujXdqQNoCI

“Essex Partnership University NHS Foundation Trust This is an organisation that runs the health and social care services we inspect”

Essex Partnership University NHS Foundation Trust HTML report "Effective" for assessment AP20498 - Care Quality Commission · cqc.org.uk/…/effective

“Essex Partnership University NHS Foundation Trust ESSEX PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST ANNUAL REPORT AND ACCOUNTS 2020-21 | ANNUAL REPORT AND ACCOUNTS 2020-21 2 | ESSEX PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST (EPUT) ESSEX PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST (EPUT) | 3 ANNUAL REPORT AND ACCOUNTS 2020-21 | ESSEX PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST ANNUAL REPORT AND”

essex-partnership-university-trust-report-and-accounts- ... · eput.nhs.uk/…/essex-partnership-university-trust-report-and-acc…

No evidence found does not mean the action did not happen.

No evidence found either way · a stated action in a response

“What is Essex Partnership University NHS Foundation Trust's digital transformation strategy? What procurement signals are in Essex Partnership University NHS Foundation Trust's board papers? What are Essex Partnership University NHS Foundation Trust's workforce challenges?”

Essex Partnership University NHS Foundation Trust Priorities 2025/26 | What the Board Is Focused On · boardpaperscraper.com/…/priorities

No evidence found does not mean the action did not happen.

No evidence found either way · a stated action in a response

“Join a free 1.5hr information briefing tofind out more about Trauma Informed Practice and how it could work in your setting”

Reflective Supervision · trauma-informed.uk/training/reflective-supervision-workshop

“The University of Essex and East Suffolk and North Essex NHS Foundation Trust (ESNEFT) have officially joined forces in a new partnership to promote greater collaboration in the areas of health and wellbeing.”

University and NHS Trust form new partnership to promote health and wellbeing collaboration - East Suffolk & North Essex NHS Foundation Trust · esneft.nhs.uk/…/university-and-nhs-trust-form-new-partnership-t…

No evidence found does not mean the action did not happen.

No evidence found either way · a stated action in a response

“Presentation: Time to Care and Partnership Working”

BOARD OF DIRECTORS MEETING PART 1 · eput.nhs.uk/…/Board_of_Directors_Meeting_Part_1-April-2026.pdf

No evidence found does not mean the action did not happen.

No evidence found either way · a stated action in a response

“Infrared technology is used in patients' bedrooms and can monitor their breathing and pulse.”

Essex Partnership University NHS Foundation Trust - BBC News · bbc.com/news/topics/cpdkegwjxdkt

“We can provide emotional and wellbeing support for anyone affected by the Lampard Inquiry. [Find support”

Essex Partnership University NHS Foundation Trust · eput.nhs.uk

“The first three mental health foundation trusts have been authorised in England. Monitor, the UK's independent regulator of NHS foundation trusts, has named them as Oxleas NHS Foundation Tru”

England approves first mental health foundation trusts - PMC · pmc.ncbi.nlm.nih.gov/articles/PMC1458549

No evidence found does not mean the action did not happen.

No evidence found either way · a stated action in a response

“[name redacted], interim chief executive Essex Partnership Trust. Good afternoon.”

Essex Integrated Care Board - Board Meeting - 15 October 2026 · youtube.com/watch?v=MujXdqQNoCI

“The trust were asked to address immediate concerns in relation to regulation 12 (safe care and treatment), 13 (safeguarding) and 17 (good governance).”

Essex Partnership University NHS Foundation Trust · cqc.org.uk/provider/R1L/reports

No evidence found does not mean the action did not happen.

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.