Source · Prevention of Future Deaths
Kyle Ashley Smith
Ref: 2014-0028
Date: 21 Jan 2014
Coroner: Jennifer Leeming
Area: Manchester (West)
Responses identified: 0 / 1
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An urgent mental health referral from a GP was significantly delayed in reaching the assessment team, with the reason for this critical communication failure remaining unknown and uninvestigated.
Date
21 Jan 2014
56-day deadline
18 Mar 2014 est.
Responses identified
0 of 1
Coroner's concerns
An urgent mental health referral from a GP was significantly delayed in reaching the assessment team, with the reason for this critical communication failure remaining unknown and uninvestigated.
View full coroner's concerns
_ _ (1) Mr Smith's GP was concerned about his mental health when she saw him on the 15th of October 2013, to the degree that she decided to refer him urgently to Mental Health Assessment Team: (2) That referral did not reach the Team until the 18th of October.
(3) The reason for this has not been investigated and is not currently known. ACTION SHOULD BE TAKEN In my opinion urgent action should be taken to prevent future deaths and I believe you andjor your organisation have the power to take such action. YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report; namely by 18th March 2014. I, the coroner, may extend the period, Your response must contain details of action taken or proposed to be taken, setting out the timetable for action. Otherwise you must explain why no action is proposed; COPIES and PUBLICATTON I have sent a copy of my report to the Chief Coroner and to the following Interested Persons Wife of the Kyle Ashley Smith.
2) Mr Simon Barber , Chief Executive, 5 Boroughs Partnership NHS Foundation Trust_Hollins Park House_Hollins Lane,Winwick Warrington_WA2 8WA delay ` the delay the delay
3) all of Longshoot Health Centre, Scholes, Wigan; Iam also under a to send the Chief Coroner a COpY of response: The Chief Coroner may publish either or both in a complete or redacted or summary form: He may send a copy of this report to any person who he believes may find it useful or of interest: You may make representations to me, coroner _ at the time of your response, about the release or the publication of your response by Chief Coroner. Dated Signed TFennulhg 21st January 2014 M Jennifer Leeming duty our the the
(3) The reason for this has not been investigated and is not currently known. ACTION SHOULD BE TAKEN In my opinion urgent action should be taken to prevent future deaths and I believe you andjor your organisation have the power to take such action. YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report; namely by 18th March 2014. I, the coroner, may extend the period, Your response must contain details of action taken or proposed to be taken, setting out the timetable for action. Otherwise you must explain why no action is proposed; COPIES and PUBLICATTON I have sent a copy of my report to the Chief Coroner and to the following Interested Persons Wife of the Kyle Ashley Smith.
2) Mr Simon Barber , Chief Executive, 5 Boroughs Partnership NHS Foundation Trust_Hollins Park House_Hollins Lane,Winwick Warrington_WA2 8WA delay ` the delay the delay
3) all of Longshoot Health Centre, Scholes, Wigan; Iam also under a to send the Chief Coroner a COpY of response: The Chief Coroner may publish either or both in a complete or redacted or summary form: He may send a copy of this report to any person who he believes may find it useful or of interest: You may make representations to me, coroner _ at the time of your response, about the release or the publication of your response by Chief Coroner. Dated Signed TFennulhg 21st January 2014 M Jennifer Leeming duty our the the
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Report details
- Reference
- 2014-0028
- Date of report
- 21 January 2014
- Coroner
- Jennifer Leeming
- Coroner area
- Manchester (West)
Responses identified
Responses identified
0 of 1
1 response not yet linked
Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 18 Mar 2014 (estimated).
Sent to
- Longshoot Health Centre