Bruce Longden

21 Apr 2015 · Coroner Veronica Hamilton-Deeley · Brighton & Hove

A similar concern from this report was raised again 1 time later. See the linked reports.

The coroner's concerns

1. transfer of patients without employing observation and therapeutic engagement policy
“Transfer of Sussex Partnership Trust patients to the acute hospital and b) Observations and Therapeutic Engagement policy”
2. communication failures between mental health liaison team and acute hospital
“Poor communication within Sussex Partnership Trust and to Brighton & Sussex University Hospital Trust”
3. inadequate assessment of mental health risk and terminology misunderstanding
“Failure to appreciate the significance of Mr [name redacted] mental health condition e Failure to understand the terminology used by the mental health liaison team”
4. delayed police notification after absconding
“Failure of the Mental Health Team to adhere to commonly understood terminology Failure to report the absconsion timeously to Sussex Police resulting in a window of opportunity to search for and, potentially, find Mr [name redacted] to be lost”

Raised again laterJean Waghorn25 Oct 2019 · 4 years 6 months later

Closely relatedConfidence 0.85 · high

This report

“Poor communication within Sussex Partnership Trust and to Brighton & Sussex University Hospital Trust”

Later report

“The Brighton and Sussex University Hospital NHS Trust policy for transfer was effectively ignored.”