22 Dec 2017 Russell Charles ROBB · Prevention of Future Deaths report Manchester South
View report summary
Concerns raised 4 Limited information sharing between adult safeguarding board members View source Lack of regular medication reviews View source Failure to hold strategic safeguarding meetings at an adequate frequency View source Lack of guidelines to reduce the quantity of drugs available at one time View source See 1 more concern
No linked response statements No action or position from this recipient is clearly linked to the concerns in this report.
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AI-generated summary
Russell Charles ROBB · 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
Russell Charles ROBB died at Manchester Royal Infirmary on 9 April 2016 after taking a fatal combination of prescribed and non-prescribed drugs with alcohol. The report identified inadequate monitoring and lack of regular medication reviews, no apparent guidelines to limit the quantity of drugs available, and limited information sharing between agencies involved in adult safeguarding.
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. The report was sent to Trafford Adult Safeguarding Board; that does not assign responsibility.
PFD Monitor interpretation Limited information sharing between adult safeguarding board members
Wider context from the report “which ultimately led to his death. There was no evidence of regular reviews of his medication. There appeared to be no guidelines in place to reduce the quantity of drugs available to Mr Robb at any one time. (CCG; Secretary of State for Health)
2. There was limited evidence of information sharing between the members of the Trafford Adult Safeguarding Board. This meant that the Local Authority were unaware of volume of interaction between the Police and Mr Robb .(Adult Safeguarding Board).As a result only 1 strategic meeting took place over a 6 year period
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Trafford Adult Safeguarding Board; that does not assign responsibility.
PFD Monitor interpretation Lack of regular medication reviews
Wider context from the report “which ultimately led to his death. There was no evidence of regular reviews of his medication. There appeared to be no guidelines in place to reduce the quantity of drugs available to Mr Robb at any one time. (CCG; Secretary of State for Health)
2. There was limited evidence of information sharing between the members of the Trafford Adult Safeguarding Board. This meant that the Local Authority were unaware of volume of interaction between the Police and Mr Robb.(Adult Safeguarding Board).As a result only 1 strategic meeting took place over a 6 year period
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Trafford Adult Safeguarding Board; that does not assign responsibility.
PFD Monitor interpretation Failure to hold strategic safeguarding meetings at an adequate frequency
Wider context from the report “which ultimately led to his death. There was no evidence of regular reviews of his medication. There appeared to be no guidelines in place to reduce the quantity of drugs available to Mr Robb at any one time. (CCG; Secretary of State for Health)
2. There was limited evidence of information sharing between the members of the Trafford Adult Safeguarding Board. This meant that the Local Authority were unaware of volume of interaction between the Police and Mr Robb.(Adult Safeguarding Board).As a result only 1 strategic meeting took place over a 6 year period
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Trafford Adult Safeguarding Board; that does not assign responsibility.
PFD Monitor interpretation Lack of guidelines to reduce the quantity of drugs available at one time
Wider context from the report “which ultimately led to his death. There was no evidence of regular reviews of his medication. There appeared to be no guidelines in place to reduce the quantity of drugs available to Mr Robb at any one time. (CCG; Secretary of State for Health)
2. There was limited evidence of information sharing between the members of the Trafford Adult Safeguarding Board. This meant that the Local Authority were unaware of volume of interaction between the Police and Mr Robb.(Adult Safeguarding Board).As a result only 1 strategic meeting took place over a 6 year period
” Open source report