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Shahzadi Khan

2024-0046

Prevention of Future Deaths Report

Coroner

Alison Mutch

Coroner's area

Manchester South

Date of report

31 January 2024

Read the PFD report for

Report recipients

MH team (community healthcare trust)

Local authority: Adult Social Care

Issues raised

NHS and private health providers' systems not connected

No information sharing agreement

Failure to communicate - external (other teams, services, professions, organisations)

Failure to communicate - discharge information

Not listening to the person or their family/carer

Cycle of Doom; no multi-disciplinary team; no lead professional

Other failure of policy, process, practice or professionalism

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