PFD report

Girmaye Guyo Liban · Prevention of Future Deaths report

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Issued 16 Jun 2023•Manchester City

Report record

Published report and response evidence

This page connects the concerns raised in this report with statements found in recipients’ published responses. A link shows a clear evidence connection; it does not assign responsibility.

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Concerns
1

Raised in this report

Recipients
2

Named on the report

Responses found
1

Of 2 recipients

Stated actions
0

Described in responses

Recipients and published responses

Source document

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

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Concerns raised1

  1. Lack of a thorough procedure or legal test for assessing nearest relative discharge applications
    Part of recurring concern: Unreliable Mental Health Act nearest-relative decision safeguardsPart of recurring concern: Unreliable hospital discharge processes
Responses linked to these concerns

Each statement is shown once, even when linked to more than one concern.

No linked response statements

No respondent-stated action or position is clearly linked to these concerns.

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

Lack of a thorough procedure or legal test for assessing nearest relative discharge applications

Wider context from the report

“The Nearest Relative Power may (as it did in this case) present an opportunity for a patient and/or their Nearest Relative to apply to the Responsible Clinician for discharge in circumstances when the patient remains liable for their continued detention. There does not appear to be a thorough procedure or legal test for clinicians to apply, and thus there is a risk that Responsible Clinicians may be faced with circumstances whereby a patient will be discharged from hospital despite them continuing to meet the criteria for detention. ”

Is this part of a recurring concern?

Yes — Unreliable Mental Health Act nearest-relative decision safeguards; Unreliable hospital discharge processes.

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Other statements in published responses

These actions and other statements could not be clearly connected to one concern in this report.

Recipient positions A position is what a recipient says about a concern when they do not describe a specific action.1

  1. 1

    Existing Nearest Relative discharge powers will not be amended because they provide an important safeguard for patients and families.

    Stated by Department of Health and Social CareExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.

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 Nearest Relative discharge powers will not be amended because they provide an important safeguard for patients and families.

Verbatim wording from the response

“The Government does not intend to amend the Nearest Relative powers of discharge as, although they are rarely used, they do provide an important safeguard for patients and their families. Nevertheless, the tragic case you have raised with me, indicate that patient safety is paramount, and I regret that for Mr Liban the outcome was so tragic.”

Source location

Response from Department of Health and Social Care
Page 1 · response
Published 22 June 2023

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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