Nigel Abbott
31 Jul 2019 · Coroner James Bennett · Birmingham and Solihull
A similar concern from this report was raised again 2 times later. See the linked reports.
The coroner's concerns
1. misunderstanding of section 135 Mental Health Act powers
“there is a misunderstanding between the agencies as to how section 135 Mental Health Act 1983 can work in an urgent situation”
2. lack of cooperation with root cause analysis
“BCC refused to co‐operate with their Root Cause Analysis process, reviewing what lessons could be learnt from the incident”
Linked reports
Closely relatedConfidence 0.80 · moderate
This report
“there is a misunderstanding between the agencies as to how section 135 Mental Health Act 1983 can work in an urgent situation.”
Later report
“In evidence the community recovery team indicated that a factor in their inaction was the knowledge that arranging a section 135 mental health act 1983 warrant and assessment would take two weeks.”
Closely relatedConfidence 0.80 · moderate
This report
“there is a misunderstanding between the agencies as to how section 135 Mental Health Act 1983 can work in an urgent situation”
Later report
“A lack of awareness by the two less experienced officers about the process under section 135 MHA 1980, and a lack of inquiry by the more experienced officer as to the existence of such a warrant”
Responses
2019-0284-Response-by-Birmingham-and-Solihull-CCG.pdf ↗· Birmingham and Solihull Clinical Commissioning Group
Nigel-Abbott-2019-02842.pdf ↗· Department of Health and Social Care