Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of depression management documentation and screening
The earlier warning
Samuel Blair · 19 May 2016 · ME Hassell, London Inner (North)
“There is no record from that meeting or any other time, of any consideration of or management plan for Mr [name redacted] depression.”
judiciary.uk/prevention-of-future-death-reports/rodney-blair
What was promised
Stated action 1 · response to Samuel Blair (19 May 2016) · stated timescale: none stated
“prison will continue to work with the healthcare provider f ensure that all staff are aware of the steps that they are required to take when responding to an emergency call.”
Stated action 2 · response to Samuel Blair (19 May 2016) · stated timescale: none stated
“we will collaborate with them to ensure that the action plan outlined in their response is implemented and that all healthcare staff are aware of the plan.”
What recurred
- 6 Dec 2016 · Tedros Kahssay · ME Hassell · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Samuel Blair · 19 May 2016
“There is no record from that meeting or any other time, of any consideration of or management plan for Mr [name redacted] depression.”
Later · Tedros Kahssay · 6 Dec 2016
“The second reception (well man) screening nurse did not explore the history of depression recorded”
What happened next
No web check of the stated actions has been published for this chain.