Louise Locke

“The Community Mental Health Service discharged [the deceased] prematurely and without carrying out a proper risk assessment or offering her adequate support”

“There was no adequate system in place to collate and assess information from other agencies such that her risk profile could be reviewed and appropriate support offered”

“The systems already in place in some parts of Hampshire for a multi-agency approach to high risk individuals do not apply in Winchester and so opportunities to recognise these people are being missed. There should be a consistent approach by Southern Health to suicide prevention across all of the areas it serves”