Thomas Reilly

1. 1. suicide risk

   “Mr [name redacted] visited Beachy head on the 1st of October 2019. His intention was | to jump off but, when approached by the Chaplains, he changed his mind. Police”

2. 2. delayed alert processing

   “alerts are graded low, medium and high risk. The high risk alerts stand a chance of being dealt with timeously. This was graded medium which was a reasonable assessment. Everything else will be delayed. Indeed the alert for Mr [name redacted] was not dealt with until 12:40 hours on Friday, the 4th of October.”

3. 3. missed intervention

   “This alert was not dealt with again until Monday, the 7th of October when it was sent to the mailbox of a named mental health social worker rather than to the Sussex Partnership Foundation Trust generic mailbox where it would have been actioned on the 7th. As it was, it was received oy on the morning of the 8th. She actioned it at once. Too late, Mr [name redacted] had been found dead early on the 3rd of October.”

4. 4. systemic failure

   “If the alert had been actioned late on the 1st or early on the 2nd of October (as | believe it should have been,) it would have produced an immediate reaction from who would have got in touch with Mr [name redacted] and arguably her engagement with him may have prevented his suicide. It was clear from the evidence | heard that the system is fundamentally flawed and needs urgent review”

No published response was found on judiciary.uk.