top of page
You are in the PFD Zone

Nicholas Dymond

2023-0545
Prevention of Future Deaths Report

Coroner

Coroner's area

Date of report

Read the PFD report for

Alison Longhorn

County of Devon, Plymouth and Torbay

21 December 2023

Report recipients

MH team (community healthcare trust)

The inquest heard that independent doctors did not have access to the CareNotes and relied upon printed copies of extracts from the notes which the AMHP considered pertinent to the Mental Health Act Assessment. Training is now available for independent s.12 doctors which, once completed, allows them access to CareNotes, but this training is not a mandated condition of their inclusion on the list of approved s.12 doctors. There remains a risk that, should a Trust doctor not be available to conduct the assessment, an independent doctor with no access to the patient’s records would be called upon to conduct an assessment.

Issues raised
bottom of page