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Caroline Staite

14 Oct 2024 · Coroner Hugh Bricknell · Herefordshire
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The coroner's concerns

  1. 1. inadequate client sifting procedures

    “The Neighbourhood Mental Health Team should ensure that their procedures are sufficiently robust regarding the sifting of clients for consideration by Mind.”

  2. 2. opaque patient return process

    “The procedure for the return of patients from Mind to the care of the Neighbourhood Mental Health Team should be transparent and encouraged if the Mind worker feels that is appropriate.”

  3. 3. uncoordinated care transitions

    “If so requested by the Mind worker the patient should be returned to the care of the Neighbourhood Mental Health Team and the involvement of the Mind worker discontinued.”

Responses

2024-0548-Response-from-Herefordshire-Worcestershire-NHS.pdf ↗

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error