Recurance · prevention of future deaths reports
Pre-inquest brief
Delayed urgent referrals and escalations
The earlier warning
Michael Huggon · 8 Jul 2024 · Nicholas Shaw, Cumbria
“Given the above I am concerned that future deaths may occur if urgent requests are not dealt with more promptly”
judiciary.uk/…/michael-huggon-prevention-of-future-deaths-report
What was promised
Stated action 1 · response to Michael Huggon (8 Jul 2024) · stated timescale: none stated
“We will put on educational sessions to update our clinicians on the mental capacity act, managing challenging scenarios with particular emphasis on how this is documented in a patient record”
What recurred
- 30 Jun 2025 · Thomas Mallinson · Nicholas Shaw · Closely related · confidence 0.85 (high)
The clearest link, quoted from both reports:
Earlier · Michael Huggon · 8 Jul 2024
“Given the above I am concerned that future deaths may occur if urgent requests are not dealt with more promptly”
Later · Thomas Mallinson · 30 Jun 2025
“[the deceased]'s case was sent electronically to the service, marked for 2 hour attention”
What happened next
No web check of the stated actions has been published for this chain.