“The Trust had systems and procedures in place in relation to the referral by the…”
Dated 15 Apr 2021, from the coroner for Manchester South. 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 10 Jun 2021.
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 dated15 Apr 2021
- Deadline10 Jun 2021
- Published on judiciary.uk15 Apr 2021
- Today27 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Greater Manchester Mental Health NHS Foundation Trust | Response publishedPublished on judiciary.uk in April 2021. |
The coroner’s concerns
– 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. The acknowledgement letter which was intended to be delivered to Ms Hussain was a pro-forma which gave no indication as to what she should expect, beyond the information that she had been placed on a waiting list. It does not appear that the procedures in place take account of the likely needs of the service-users who are by definition, seeking assistance with mental illness. It is understood that the Community Transformation Project is currently in the process of reviewing the mental health service, but there is no timescale available over which the question of referrals will be considered. Pending that review, my concern is that the level and method of communication with those being referred to the service does not take account of their particular needs and may affect their mental health.
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, 2021-0109
- 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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