Rastislav Petrisko

1. 1. patient granted unescorted leave without mental instability assessment

   “The responsible clinician (RC) assessed the patient as low risk on granting an hour's unescorted leave in the local area from 13th. He said that he was not mentally unstable, which would trigger an escort. He was no longer expressing suicidal thoughts. The RC did not consider that Mr [name redacted] was an immediate risk to himself, although the past medical history established a higher long term tisk. He had already taken leave several times without selfharming (although unknown to the doctor he had returned”

2. 2. risk of drug and alcohol overdose affecting mental state

   “A missing persons form was completed by the ward. His risk was described as concern he would take large amount of drugs and alcohol, which would affect his mental state and that it was not out of character. In answer to the question whether he was likely to commit suicide, was written:”

3. 3. delayed police response to missing patient

   “The DI from the Metropolitan Police Service indicated on reviewing the case, that he would be classed as medium risk, not low risk. High risk is an immediate risk to life, when a DI is deployed immediately to investigate and search. Medium Risk is that the risk to life is not immediate, but is a concern. An investigation and search is begun within the hour. Low risk is where there are no immediate concerns. The investigation may not begin straight away but take a few days.”

4. 4. delayed police notification after patient absconded

   “Thus if the police had been rung immediately, and assuming they took no action for the whole of the first hour, they would have had at least 49 minutes to find him in this site, which on the facts of the present case would enable an inference to be drawn that his life would have been saved. Thus the risk assessment by the police would seem to enable some deaths to be prevented, which would not necessarily on application of the assessment of the responsible physician, as immediate reporting only”

No published response was found on judiciary.uk.