The Right to Life

As far as I can tell, the tragic death of 60yr old Mr Michael Thompson in March 2016 was not widely covered by the media. An inquest in Southwark in 2017 returned a verdict that Mr Thompson had died an accidental death after he set fire to his own property whilst in mental health crisis […]

Code of Practice Review

I missed something last year, probably because I’d changed roles and I’m not focussing on this stuff as before. In 2019, the Care Quality Commission reported some findings after a review of the implementation of the Code of Practice to the Mental Health Act 1983. Those who have followed this blog since the start will […]

Using PFD Reports

We’ve started the new year with some familiar messages – more preventing future death reports (PFDs) from UK coroners after someone tragically lost their life in circumstances which gave rise to fears that aspects could be repeated and lead to future tragedy. PFDs are statutory notices, something the Coroner issues to an agency who may control […]