Danny Holt-Scapens

1. 1. lack of interagency information sharing

   “There should be better interagency working and sharing of key information between agencies who had contact with the deceased in the period leading up to his death.”

2. 2. inadequate documentation of assessment

   “The assessing crisis team clinician who undertook the telephone assessment with the deceased on the 30th July 2019, did not make contemporaneous records or document any decision- making rationale including detailing the capacity assessment undertaken”

No published response was found on judiciary.uk.