Tramlines, Not Guidelines

Lisa Taylor-Penny died in 2025 after self-injury and the inquest into her death concluded in Cheshire with a very sad narrative verdict just a few months ago. Yesterday, His Majesty’s Coroner published a new Preventing Future Deaths (PFD) report after concerns were caused arising from the application of the Right Care, Right Person programme. This […]

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Lessons Learned?

His Majesty’s Coroner for Lincolnshire has issued a new Preventing Future Death report after the death in 2021 of Mr Robert GRACEY.  As many of you know, I’m reading a lot of PFD notices at the moment because my ongoing research is examining them and Mr Gracey’s case became the 157th PFD I’ve found for […]

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Legally Nonsensical

Alex Ruck Keene KC (Hon) is a practising barrister, a visiting professor of law at King’s College, London and was the legal advisor to the 2018 Mental Health Act review.  It’s fair to say he knows his mental health and capacity law onions and has had opportunity to demonstrate this in all the courts of […]

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