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Cancelled Mental Health Visit Linked to Death
An inquest heard how a cancelled mental health visit contributed to the death of Dan Kay, highlighting failures in the care plan.
English
United Kingdom
HealthUkHealthcareMental HealthDeathNegligenceInquest
Mersey CareLiverpool EchoRoyal Liverpool Hospital
Dan KayMatthew WigleyMeghan McgeeStephen PotterJoseph Hart
- Why was the Mental Health Act not triggered for Dan Kay?
- Mental health nurse Meghan McGee stated that Mr. Kay did not express an immediate risk to himself and showed interest in life, leading her to not initiate detention under the Mental Health Act.
- Were Mersey Care's standard procedures followed in Dan Kay's case?
- The standard procedure of Mersey Care was not followed, including assigning a named lead social worker, and there was no record of a reported meeting cancellation by Mr. Kay.
- What was Dan Kay's medical history and the care plan put in place?
- Mr. Kay had been hospitalized for self-inflicted wounds but was sent home with a plan for daily check-ins, which were later reduced and ultimately cancelled on the day of his death.
- What was the main error identified in the care provided to Dan Kay?
- A mental health worker's visit to Dan Kay was cancelled, a decision later deemed a "huge mistake" by the worker.
- What were the actions of social worker Stephen Potter following his failed attempts to contact Dan Kay?
- Social worker Stephen Potter admitted to not following the care plan's contingency for contacting emergency services when he couldn't reach Mr. Kay, and discovered his death through news reports.