PFD report

Bruce LONGDEN · Prevention of Future Deaths report

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Issued 21 Apr 2015•Brighton and Hove

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.

View original report
Concerns
7

Raised in this report

Recipients
2

Named on the report

Responses found
0

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

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

Concerns raised7

  1. Failure to conduct observations and therapeutic engagement in accordance with policy
    Part of recurring concern: Unreliable patient observation arrangementsPart of recurring concern: Unreliable therapeutic engagement in mental health care
  2. Failure of the Mental Health Team to adhere to commonly understood terminology
  3. Delays in reporting an absconsion to Sussex Police
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

Failure to conduct observations and therapeutic engagement in accordance with policy

Wider context from the report

“(1) Sussex Partnership Trust are apparently unaware of their own protocols in connection with :- a) Transfer of Sussex Partnership Trust patients to the acute hospital and b) Observations and Therapeutic Engagement policy These policies were not employed. If they had been the outcome may have been different for Mr Bruce LONGDEN as he would have been specially and accompanied and would not have had the opportunity to abscond. 2)Poor communication within Sussex Partnership Trust and to Brighton & Sussex University Hospital Trust 3)Poor communication within Brighton & Sussex University Hospital Trust particularly: • Failure to appreciate the significance of Mr Bruce Longden’s mental health condition • Failure to understand the terminology used by the mental health liaison team • Failure of the Mental Health Team to adhere to commonly understood terminology • Failure to report the absconsion timely to Sussex Police resulting in a window of opportunity to search for and, potentially, find Mr Bruce Longden to be lost ”

Is this part of a recurring concern?

Yes — Unreliable patient observation arrangements; Unreliable therapeutic engagement in mental health care.

Open source report

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 of the Mental Health Team to adhere to commonly understood terminology

Wider context from the report

“(1) Sussex Partnership Trust are apparently unaware of their own protocols in connection with :- a) Transfer of Sussex Partnership Trust patients to the acute hospital and b) Observations and Therapeutic Engagement policy These policies were not employed. If they had been the outcome may have been different for Mr Bruce LONGDEN as he would have been specially and accompanied and would not have had the opportunity to abscond. 2)Poor communication within Sussex Partnership Trust and to Brighton & Sussex University Hospital Trust 3)Poor communication within Brighton & Sussex University Hospital Trust particularly: • Failure to appreciate the significance of Mr Bruce Longden’s mental health condition • Failure to understand the terminology used by the mental health liaison team • Failure of the Mental Health Team to adhere to commonly understood terminology • Failure to report the absconsion timely to Sussex Police resulting in a window of opportunity to search for and, potentially, find Mr Bruce Longden to be lost ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

Open source report

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

Delays in reporting an absconsion to Sussex Police

Wider context from the report

“(1) Sussex Partnership Trust are apparently unaware of their own protocols in connection with :- a) Transfer of Sussex Partnership Trust patients to the acute hospital and b) Observations and Therapeutic Engagement policy These policies were not employed. If they had been the outcome may have been different for Mr Bruce LONGDEN as he would have been specially and accompanied and would not have had the opportunity to abscond. 2)Poor communication within Sussex Partnership Trust and to Brighton & Sussex University Hospital Trust 3)Poor communication within Brighton & Sussex University Hospital Trust particularly: • Failure to appreciate the significance of Mr Bruce Longden’s mental health condition • Failure to understand the terminology used by the mental health liaison team • Failure of the Mental Health Team to adhere to commonly understood terminology • Failure to report the absconsion timely to Sussex Police resulting in a window of opportunity to search for and, potentially, find Mr Bruce Longden to be lost ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

Open source report

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 understand terminology used by the mental health liaison team

Wider context from the report

“(1) Sussex Partnership Trust are apparently unaware of their own protocols in connection with :- a) Transfer of Sussex Partnership Trust patients to the acute hospital and b) Observations and Therapeutic Engagement policy These policies were not employed. If they had been the outcome may have been different for Mr Bruce LONGDEN as he would have been specially and accompanied and would not have had the opportunity to abscond. 2)Poor communication within Sussex Partnership Trust and to Brighton & Sussex University Hospital Trust 3)Poor communication within Brighton & Sussex University Hospital Trust particularly: • Failure to appreciate the significance of Mr Bruce Longden’s mental health condition • Failure to understand the terminology used by the mental health liaison team • Failure of the Mental Health Team to adhere to commonly understood terminology • Failure to report the absconsion timely to Sussex Police resulting in a window of opportunity to search for and, potentially, find Mr Bruce Longden to be lost ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

Open source report

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

Poor communication within Sussex Partnership Trust and to Brighton & Sussex University Hospital Trust

Wider context from the report

“(1) Sussex Partnership Trust are apparently unaware of their own protocols in connection with :- a) Transfer of Sussex Partnership Trust patients to the acute hospital and b) Observations and Therapeutic Engagement policy These policies were not employed. If they had been the outcome may have been different for Mr Bruce LONGDEN as he would have been specially and accompanied and would not have had the opportunity to abscond. 2)Poor communication within Sussex Partnership Trust and to Brighton & Sussex University Hospital Trust 3)Poor communication within Brighton & Sussex University Hospital Trust particularly: • Failure to appreciate the significance of Mr Bruce Longden’s mental health condition • Failure to understand the terminology used by the mental health liaison team • Failure of the Mental Health Team to adhere to commonly understood terminology • Failure to report the absconsion timely to Sussex Police resulting in a window of opportunity to search for and, potentially, find Mr Bruce Longden to be lost ”

Is this part of a recurring concern?

Yes — Unreliable multi-agency communication procedures.

Open source report

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 follow protocols for transferring Sussex Partnership Trust patients to the acute hospital

Wider context from the report

“(1) Sussex Partnership Trust are apparently unaware of their own protocols in connection with :- a) Transfer of Sussex Partnership Trust patients to the acute hospital and b) Observations and Therapeutic Engagement policy These policies were not employed. If they had been the outcome may have been different for Mr Bruce LONGDEN as he would have been specially and accompanied and would not have had the opportunity to abscond. 2)Poor communication within Sussex Partnership Trust and to Brighton & Sussex University Hospital Trust 3)Poor communication within Brighton & Sussex University Hospital Trust particularly: • Failure to appreciate the significance of Mr Bruce Longden’s mental health condition • Failure to understand the terminology used by the mental health liaison team • Failure of the Mental Health Team to adhere to commonly understood terminology • Failure to report the absconsion timely to Sussex Police resulting in a window of opportunity to search for and, potentially, find Mr Bruce Longden to be lost ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

Open source report

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 appreciate the significance of a patient’s mental health condition

Wider context from the report

“(1) Sussex Partnership Trust are apparently unaware of their own protocols in connection with :- a) Transfer of Sussex Partnership Trust patients to the acute hospital and b) Observations and Therapeutic Engagement policy These policies were not employed. If they had been the outcome may have been different for Mr Bruce LONGDEN as he would have been specially and accompanied and would not have had the opportunity to abscond. 2)Poor communication within Sussex Partnership Trust and to Brighton & Sussex University Hospital Trust 3)Poor communication within Brighton & Sussex University Hospital Trust particularly: • Failure to appreciate the significance of Mr Bruce Longden’s mental health condition • Failure to understand the terminology used by the mental health liaison team • Failure of the Mental Health Team to adhere to commonly understood terminology • Failure to report the absconsion timely to Sussex Police resulting in a window of opportunity to search for and, potentially, find Mr Bruce Longden to be lost ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

Open source report
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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