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Saima Hussain Mann

15 Apr 2021 · Coroner Adrian Farrow · Manchester South
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The coroner's concerns

  1. 1. lack of reliable referral system

    “The Trust had systems and procedures in place in relation to the referral by the Community Mental Health Team to the Psychological Therapies Services, but there did not appear to be in a place a reliable or established system which would ensure that the service-user would receive direct contact from the Trust, tailored to their particular situation and condition to ensure that they were fully informed as to the fact, status and plan for their referral.”

Responses

2021-0109-Response-from-Greater-Manchester-Mental-Health-NHS-Foundation-Trust-Redacted.pdf ↗· Greater Manchester Mental Health NHS Foundation Trust

Stated action · 9th July 2021

“the manager of the service has made it clear to all staff the process regarding referral and the need for this to be adhered to as well as ensuring that all administration staff have received bespoke training from the Trust in relation to dealing with challenging communication on the telephone.”
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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error