Recurance · prevention of future deaths reports
Pre-inquest brief
Incomplete paperwork and missing responsible clinician for section 5(2) holds
The earlier warning
Mollie Stansfield · 19 Dec 2022 · Paul Marks, East Riding and Hull
“There was a failure at Hull Royal Infirmary to understand the process of implementing Section 5(2) of the Mental Health act 1983 [MHA] (Doctors Holding Power) as well as general uncertainty about its significance and effect.”
judiciary.uk/…/mollie-stansfield-prevention-of-future-deaths-re…
What was promised
Stated action 1 · response to Mollie Stansfield (19 Dec 2022) · stated timescale: none stated
“response, are providing the required guidance and training to all medical professionals who hold these important powers”
Stated action 2 · response to Mollie Stansfield (19 Dec 2022) · stated timescale: none stated
“I am therefore taking steps to raise this issue with HSC Trust Chief Executives and relevant professional bodies, in order to ensure that the appropriate action is taken to address this point.”
judiciary.uk/…/2022-0408-Response-from-Department-of-Health.pdf
What recurred
- 19 Jun 2024 · Aaron Deeley · Sonia Hayes · Closely related · confidence 0.85 (high)
The clearest link, quoted from both reports:
Earlier · Mollie Stansfield · 19 Dec 2022
“There was a failure at Hull Royal Infirmary to understand the process of implementing Section 5(2) of the Mental Health act 1983 [MHA] (Doctors Holding Power) as well as general uncertainty about its significance and effect.”
Later · Aaron Deeley · 19 Jun 2024
“Patients admitted onto a ward at the acute Trust detained under various sections of the Mental Health Act have an allocated Responsible Clinician. As section 5 (2) is a holding power only, there is no Responsible Clinician allocated for a vulnerable patient being held pending assessment for consideration for detention under the Mental health Act.”
What happened next
No web check of the stated actions has been published for this chain.