Ryan Vout

6 Nov 2017 · Coroner Andrew McNamara · Nottinghamshire

The coroner's concerns

1. lack of coordinated discharge from in-patient psychiatric care
“The lack of a co-ordinated discharge from in-patient psychiatric care into the community, in particular the failure of appropriate professionals from hospital and community to liaise and for family to be informed as a pre-requisite for 2 discharge”
2. inability to pre-arrange ambulance attendance
“The inability to pre-arrange attendance of an ambulance when police officers exercise a s.135 (1) MHA Act 1983 warrant”
3. lack of formality to briefing or risk assessment exercise
“The lack of formality to the 'briefing' or risk assessment exercise before officers enter premises with a view to exercising a s.135 (1) MHA Act 1983 warrant”