“The effectiveness of the IAPT electronic patient clinical records system (SystemOne) may…”
Dated 11 Mar 2016, from the coroner for South Yorkshire East. Sent to 1 organisation or person.
A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.
The 56-day response deadline
All responses publishedReplies were due by 6 May 2016.
Organisations that receive a report must reply to the coroner within 56 days, saying what they will do or why they will do nothing. We show whether a response is published on judiciary.uk; a reply may have been sent and not yet published.
- Report dated11 Mar 2016
- Deadline6 May 2016
- Published on judiciary.uk11 Mar 2016
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Rotherham Doncaster and South Humber NHS Foundation Trust | Response publishedPublished on judiciary.uk in March 2016. |
Some responses were published as scans, so their text was read automatically. Check the wording against the original before you quote it.
The coroner’s concerns
This report was published as a scan, so its text was read automatically. Check the wording against the original before you quote it.
— (1) The effectiveness of the IAPT electronic patient clinical records system (SystemOne) may be limited, in some instances, by there being inserted insufficient written narrative detail (eg. As to medication commencement dates, doses, changes etc.) to accompany the coded data entries in the drop down box selection (2) The existing IAPT risk assessment tool utilises a numerical rating system which has, as its Starting level 1, “things feel so bad that you think about killing yourself’, and which does not allow for the recording of a less threatening position, thereby not providing a means of reflecting a deterioration, is a patient's state of risk, over time, to the current Level 1 status. (3) It may not be universally recognised by all mental health practitioners, that the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness (2015) Coroner's Court and Office, Doncaster Crown Court, College Road, Doncaster, DN1 3HS Tel 01302 737135 | Fax 01302 736365 has identified an increasing number of suicides amongst middle aged males and also socio- economic factors becoming increasingly common in suicides.
An extract. Read the full report, including the circumstances of the death, on the Courts and Tribunals Judiciary website.
- Source
- judiciary.uk, Prevention of Future Deaths reports, 2016-0105
- Added to Minute Book
- 8 Oct 2026
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Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0
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