George Edward Rogers · Prevention of Future Deaths report

Pin Get email alerts Request correction

Issued 21 Nov 2019•West Sussex

Published report and response evidence

This report’s concerns and statements found in recipients’ published responses. Statements are included even where no link to an individual concern is recorded. A link shows an evidence connection; it does not assign responsibility.

View original report
Concerns
1

Raised in this report

Recipients
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
2

Described in responses

Recipients and published responses

Full report text

This is the full text from the original published report.

Open published report

Concerns and recipient responses

Select any concern, action or position to view the source wording.

Concerns raised1

  1. Failure to appoint a Lead Practitioner when transferring patients between the CRHTT and ATS
    Part of recurring concern: Failure to ensure timely Lead Practitioner appointment for mental health patientsPart of recurring concern: Unreliable community Home Treatment Team care pathwaysPart of recurring concern: Unsafe coordination and continuity during mental health service transfers

Stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.2

  1. Sussex Partnership NHS Foundation Trust

    Monitor weekly patients transferred between teams who remain without an allocated Lead Practitioner.

  2. Sussex Partnership NHS Foundation Trust

    Implement a transfer process for allocating Lead Practitioners and providing interim treatment, support, contact details and follow-up plans when immediate allocation is unavailable.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.2

  1. Sussex Partnership NHS Foundation Trust

    There is no delay in patients receiving treatment when transferred between the CRHTT and ATS.

    Disputes the concernThe respondent disagreed with part of the concern or the basis for it.
  2. Sussex Partnership NHS Foundation Trust

    Existing monitoring and Duty Worker arrangements are sufficient while a Lead Practitioner is identified after transfer.

    Existing arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure to appoint a Lead Practitioner when transferring patients between the CRHTT and ATS

Wider context from the report

“1. When transferring patients between the CRHTT and ATS there is not always a Lead Practitioner appointed on transfer which may (a) delay patients receiving treatment and (b) mean that patients may not be monitored pending the appointment. ”

Is this part of a recurring concern?

Yes — Failure to ensure timely Lead Practitioner appointment for mental health patients; Unreliable community Home Treatment Team care pathways; Unsafe coordination and continuity during mental health service transfers.

Open source report

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Monitor weekly patients transferred between teams who remain without an allocated Lead Practitioner.

Verbatim wording from the response

“Any patient not allocated a Lead Practitioner is monitored by the Team Leader on a weekly basis.”

Source location

Response from Sussex Partnership NHS Foundation Trust
Page 2 · response
Published 27 November 2019

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Implement a transfer process for allocating Lead Practitioners and providing interim treatment, support, contact details and follow-up plans when immediate allocation is unavailable.

Verbatim wording from the response

“The process for allocation of a Lead Practitioner is as follows; the CRHTT attends the weekly Multi-Professional ATS meeting (ATS - sometimes referred to as a Community Mental Health Team) to provide an update on each case and to request allocation, if needed, of a Lead Practitioner.”

Source location

Response from Sussex Partnership NHS Foundation Trust
Page 1 · response
Published 27 November 2019

Open published response

Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation

There is no delay in patients receiving treatment when transferred between the CRHTT and ATS.

Verbatim wording from the response

“I hope that the content of this letter and its enclosures addresses your concerns and provides you with assurance that there is no delay in a patient receiving access to treatment on transfer between CRHTT and the ATS, that there is a process in place to monitor patients who have been transferred and are receiving support with the Duty Worker whilst a Lead Practitioner is identified. However, if any further clarification is required or I can assist further in any way then please do not hesitate to contact me.”

Source location

Response from Sussex Partnership NHS Foundation Trust
Page 2 · response
Published 27 November 2019

Open published response

Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation

Existing monitoring and Duty Worker arrangements are sufficient while a Lead Practitioner is identified after transfer.

Verbatim wording from the response

“If the patient is already known to the team, the Lead Practitioner (ATS) will remain involved and work with the CRHTT throughout the episode of care. If the person is unknown to the ATS, the CRHTT and ATS will work together to plan onward care and support. Where a Lead Practitioner cannot be provided immediately by the ATS, an initial appointment will be offered within 7 days of transfer from the CRHTT and follow-up plans will be agreed. This may include care and support being offered by the ATS Duty Worker (a senior registered professional) who the patient will be able to contact for support. This support includes face to face contact on the same day if necessary and attendance at the ATS if”

Source location

Response from Sussex Partnership NHS Foundation Trust
Page 1 · response
Published 27 November 2019

Open published response
Back to top

Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026