John Moore

“The evidence in this case echoed that received in a number of recent inquests held in this jurisdiction concerning the deaths of individuals with a history of involvement with EPUT mental health services. Whilst in the specific circumstances of this case, and the context of the Covid-19 pandemic, the disengagement of the deceased from primary and secondary health care providers and the performance of his Care Coordinator could not be concluded to have probably caused or contributed to Mr [name redacted] death more than minimally, (given the length of time between last contact and the suicide some eleven months later), nonetheless common themes were identified in evidence which replicated shortcomings and failures in those other cases, the continuation of which give rise, in my view, to the risk of future deaths.”