“The inquest heard that there was a particular tension in relation to shared care between…”
Dated 23 Apr 2020, from the coroner for Manchester South. Sent to 2 organisations or people.
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 18 Jun 2020.
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 dated23 Apr 2020
- Deadline18 Jun 2020
- Published on judiciary.uk27 May 2020
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Tameside and Glossop Integrated Care NHS Foundation Trust | Response publishedPublished on judiciary.uk in May 2020. |
| Pennine Care NHS Foundation Trust | Response publishedPublished on judiciary.uk in May 2020. |
The coroner’s concerns
– 1. The inquest heard that there was a particular tension in relation to shared care between Pennine Care NHS Foundation Trust and Tameside and Glossop Integrated Care NHS Trust for patients who are subject to psychiatric care, who have acute medical problems. 2. There does not appear to be a reliable and consistent method of sharing medical records and information between the two Trusts. 3. There does not appear to be a formalised decision-making process in place involving both Trusts to review the treatment plan to determine the optimum medical and psychiatric care to suit the particular patient’s needs. 6. ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and I believe your organisation has the power to take such action 7. YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report, namely by 18th June 2020. I, the coroner, may extend the period.
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, 2020-0102
- Added to Minute Book
- 8 Oct 2026
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- We show short extracts and link to the original. We don’t host the full report.
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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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