Hackney Borough Council
Local Authority / Fire Service
Action Planned
Hackney Council and East London Foundation Trust have formulated and are implementing a multi-agency action plan to ensure staff fluency with mental health assessment processes, review escalation pathways for service refusals, and review the AMHP referral risk assessment process; expected completion by 30th September 2018. (AI summary)
View full response
Dear Ms Bourke,
RE: Regulation 28 Report to Prevent Future Deaths
Mr Dudley Vincent Brown – DOB: 31/5/59 – DOD: 10/1/18 Address:
Thank you for your Regulation 28 Report issued on 27th June 2008 seeking assurance from the council and East London Foundation Trust that the circumstances surrounding the death of Mr Brown are acknowledged and addressed in order to prevent future deaths.
This is a joint response between the Council and East London Foundation Trust. We acknowledge and accept your recommendations in this case, and have worked together to address the concerns, by way of formulating and implementing a multi-agency action plan which is attached for your reference.
This focuses upon the following:
Ensuring that all staff, including managers are fluent with the processes for requesting either a general mental health assessment or a Mental Health Act assessment, which to some degree have differing referral routes, outcomes and expected response times.
A review of the current escalation pathway for service refusals by either the individual themselves or other parties on their behalf where a needs-based care package has been commissioned.
A review of the current AMHP referral risk assessment process, including the timely gathering of necessary information to assist in progressing cases, i.e. property details for Police, etc.
It is expected that this work as a whole, will be completed by the 30th September 2018, with some aspects having already been completed following the initial inquest.
As an additional assurance, the council and East London Foundation Trust have shared the circumstances and action plan with the City & Hackney Safeguarding Adults Board via its Safeguarding Adults Review Sub-Group in order to clarify if the circumstances meet the criteria for a Safeguarding Adults Review, and, if not, then to ensure that the identified learning points are shared across the partnership.
We are in agreement to the publication of this response in order to broaden learning, and we will be liaising with Mr Brown’s sister.
Please do not hesitate to contact me if further clarification is required.
RE: Regulation 28 Report to Prevent Future Deaths
Mr Dudley Vincent Brown – DOB: 31/5/59 – DOD: 10/1/18 Address:
Thank you for your Regulation 28 Report issued on 27th June 2008 seeking assurance from the council and East London Foundation Trust that the circumstances surrounding the death of Mr Brown are acknowledged and addressed in order to prevent future deaths.
This is a joint response between the Council and East London Foundation Trust. We acknowledge and accept your recommendations in this case, and have worked together to address the concerns, by way of formulating and implementing a multi-agency action plan which is attached for your reference.
This focuses upon the following:
Ensuring that all staff, including managers are fluent with the processes for requesting either a general mental health assessment or a Mental Health Act assessment, which to some degree have differing referral routes, outcomes and expected response times.
A review of the current escalation pathway for service refusals by either the individual themselves or other parties on their behalf where a needs-based care package has been commissioned.
A review of the current AMHP referral risk assessment process, including the timely gathering of necessary information to assist in progressing cases, i.e. property details for Police, etc.
It is expected that this work as a whole, will be completed by the 30th September 2018, with some aspects having already been completed following the initial inquest.
As an additional assurance, the council and East London Foundation Trust have shared the circumstances and action plan with the City & Hackney Safeguarding Adults Board via its Safeguarding Adults Review Sub-Group in order to clarify if the circumstances meet the criteria for a Safeguarding Adults Review, and, if not, then to ensure that the identified learning points are shared across the partnership.
We are in agreement to the publication of this response in order to broaden learning, and we will be liaising with Mr Brown’s sister.
Please do not hesitate to contact me if further clarification is required.