John Alston

“[REDACTED] had been moved to the Lancashire ICB commissioning area by a Bolton (Greater Manchester) commissioning service due to the existence of care home with a place for him (care home one). His placement at that care home broke down and he was taken to the local accident and emergency department. [REDACTED] remained in hospital for some time and was then discharged to care home two where the circumstances resulted in Mr [name redacted] death occurred. It was quickly apparent that care home two could not meet [REDACTED] needs and this was escalated to the Lancashire ICB. However the care home had first been directed to the Bolton (Greater Manchester) authorities by the local hospital. There was confusion as to which ICB was the commissioning body. This resulted in work being carried out by Lancashire ICB which ought to have been completed by the Bolton (Greater Manchester) ICB and a delay in commencing a search for an alternative and safe placement for [REDACTED]”