Darren Dickson: Prevention of future deaths report (2)

“At the appointment on 27 January 2025, Mr [name redacted] was seen by a Recovery Co-Ordinator in relation to his use of benzodiazepine. It could not be ascertained from the records what information regarding signposting to other services that could have assisted Mr [name redacted] with treatment, was provided to him. I was concerned that the records did not allow a full and verifiable understanding of the information and assistance provided to Mr [name redacted] at this appointment.”

“At the appointment on 27 January 2025, Mr [name redacted] was given advice to prepare a 'drugs diary'. This was required so that, at his follow up appointment, it could be ascertained what his usage of benzodiazepine he was, so that a better-informed treatment plan could be prepared. I was conscious of the need your staff have for accurate information as to the extent of the drug use so that a well informed and coherent plan could be put in place. The concern I had was that Mr [name redacted] had seen his GP prior to the appointment on 27 January 2025 and had been told that if he was to take any benzodiazepine, it should be less than what he had previously taken. I was concerned that there was scope for confusion as to the information being given to Mr [name redacted], and the level of communication that Recovery Steps has with the GP services in relation to the issue of ongoing use and doses of drugs.”