Recurring concern

Private mental-health providers failing to obtain relevant clinical information

First to latest report 26 Feb 2019 — 24 Jul 2019

Reports that mention this concern
2
Times this concern has been raised
2
Stated actions linked to this concern
0

What this concern includes

Includes failures by private mental-health providers to seek, obtain, review or use relevant patient or referring-service information needed for safe mental-health assessment and therapy, including medication prescribing, treatment history and previously expressed suicidal ideation.

What is not included
  • Excludes generic clinical-record availability or inter-provider communication failures where private mental-health-provider information gathering is not the deficient process.
  • Excludes failures in clinical assessment or therapy after relevant information was reliably obtained and available.
  • Excludes routine patient-information requests unrelated to mental-health treatment, medication effects or safety risks.
  • Excludes public-sector mental-health providers unless the assertion explicitly concerns the same private-provider information-gathering process.

Reports and published responses 2 reports

See individual reports that have raised this concern, and the actions taken in response

  1. Manchester South

    AI-generated summary

    Hannah Dolly Kaur Bharaj · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Hannah Dolly Kaur Bharaj had anorexia, depression and fluctuating suicidal ideation, and died at Salford Royal Hospital on 13 July 2018 from injuries sustained after jumping from a first-floor café. Concerns included inadequate communication and discharge planning, unsuitable placement and care coordination, incomplete sharing of clinical information, and the safety of the café balustrade and adjacent table.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure of private providers to obtain relevant clinical information from referring services

    Wider context from the report

    “5.The expectations around information sharing with private providers and the expectation on private providers contracted by the NHS to seek information. The Priory did not request any notes from the EDU about Hannah. As a result they were unaware of detailed information held by the Trust regarding previously expressed suicidal ideation; ”

    Source location

    Hannah Dolly Kaur Bharaj · Prevention of Future Deaths report
    Page 3 · concerns

    Open source report

  2. Manchester South

    AI-generated summary

    Danyon Robert Chesters · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    On 2 July 2018, Danyon Robert Chesters went onto a railway line under Trafford Bridge Road and was struck by a train. The inquest heard concerns about delays in accessing mental health services, the resulting use of private therapy, and a lack of joined-up care and information sharing. It also heard concerns that private therapists might not obtain information about prescribed mental health medication and its impact on therapy.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure of private therapists to obtain information about mental health medication prescribing and its impact on therapy

    Wider context from the report

    “2. The private therapist did not make further enquiries and did not show any curiosity about how he was being prescribed medication for his mental health condition. Private therapists do not appear to have any obligation to obtain information about prescribing of medication for mental health conditions or how that may impact the provision of therapy. ”

    Source location

    Danyon Robert Chesters · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

Actions and positions describe what organisations say in published responses. Implementation is not independently verified.

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Data last updated 7 September 2026