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Coroner’s reportPrevention of future deaths · 2024-0548

“The Neighbourhood Mental Health Team should ensure that their procedures are sufficiently…”

Dated 14 Oct 2024, from the coroner for Herefordshire. 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.

Read the full report on judiciary.uk

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The 56-day response deadline

All responses published

Replies were due by 9 Dec 2024.

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.

  1. Report dated14 Oct 2024
  2. Deadline9 Dec 2024
  3. Published on judiciary.uk14 Oct 2024
  4. Today23 Oct 2026

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Responses from each recipient

The coroner’s concerns

– (1)  The Neighbourhood Mental Health Team should ensure that their procedures are sufficiently robust regarding the sifting of clients for consideration by Mind. (2)  The procedure for the return of patients from Mind to the care of the Neighbourhood Mental Health Team should be transparent and encouraged if the Mind worker feels that is appropriate. (3)  If so requested by the Mind worker the patient should be returned to the care of the Neighbourhood Mental Health Team and the involvement of the Mind worker discontinued.

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, 2024-0548
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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