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recurance

Steven Marsland

13 Dec 2019 · Coroner Alison Mutch · Manchester (South)

A similar concern from this report was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. lack of family engagement policy

    “no clear policy about how a family could be effectively engaged by the CMHT”
  2. 2. no follow up appointment

    “no follow up appointment was made”
  3. 3. lack of regular community contact with CMHT

    “it was recognised as part of his discharge planning that there should be regular contact in the community with the CMHT”

Linked reports

Raised again laterRichard Burgess19 May 2021 · 1 year 5 months later
Closely relatedConfidence 0.90 · high

This report

“There was no clear policy about how a family could be effectively engaged by the CMHT;”

Later report

“- a continuous engagement with the family in the "triangle of care", including regular communication and updating life stories;”
Original on judiciary.uk ↗
Full chain: Insufficient family involvement in mental health care processes

Responses

No published response was found on judiciary.uk.

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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