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recurance

George Rogers

27 Nov 2019 · Coroner Joanne Andrews · West Sussex

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

The coroner's concerns

  1. 1. lack of lead practitioner during transfer

    “When transferring patients between the CHRTT and ATS there is not always a Lead Practitioner appointed on transfer which may (a) delay patients receiving treatment and (b) mean that patients may not be monitored pending the appointment.”

Linked reports

Raised again laterTimothy Steele15 Mar 2021 · 1 year 4 months later
Identical hazardConfidence 0.90 · high

This report

“When transferring patients between the CHRTT and ATS there is not always a Lead Practitioner appointed on transfer which may (a) delay patients receiving treatment and (b) mean that patients may not be monitored pending the appointment.”

Later report

“Mr [name redacted] was lost to ATS follow up apparently due to inefficient processes and a failure to appreciate the urgent need to appoint a Lead Practitioner for him.”
Original on judiciary.uk ↗
Full chain: Lack of lead practitioner during transfer leading to lost follow up

Responses

2019-0484-Response-from-Sussex-Partnership-NHS-Foundation-Trust.pdf ↗· Sussex Partnership NHS Trust

Stated action · 7 days

“Allocation of a Lead Practitioner of patients transferred from the CRHTT and ATS”
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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