William Callis
PFD Report
Historic (No Identified Response)
Ref: 2018-0105
Coroner's Concerns (AI summary)
A lack of clear, specific instructions for GP practices on how to refer to the Urgent Care and Assessment team was identified.
View full coroner's concerns
During_the_inquest it became clear that there _was no specific instruction as to_ Way from the correct procedure for a GP practice to adopt when making a referral to the Urgent Care and Assessment team_
Sent To
- St Lukes Primary Care Centre
Response Status
Linked responses
0 of 1
56-Day Deadline
7 Jun 2018
About PFD responses
Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.
Source: Courts and Tribunals Judiciary
Report Sections
Investigation and Inquest
On 28/03/2017 commenced an investigation into the death of William John Callis whose date of birth was 19/02/1954. The investigation concluded at the end of the inquest on 07/03/2018. The medical cause of death was:- Ia) Hanging
Circumstances of the Death
William John Callis was suffering from depression and sought help from his GP surgery in this regard. made an urgent referral to the Crisis Team on 10/02/2017 and he was seen that afternoon_ He was later reviewed by the Mental Health team _ He later was discharged the urgent care and assessment team on 20/02/2017 . On 14/03/2017 he was seen by Advanced Nurse Practitioner at the GP surgery. His depression and anxiety symptoms were raised s0_ Ireferred him back to the Mental Health Team. This referral was not taken on. William John Callis later hung himself at his home address on 28/03/2017
Action Should Be Taken
In my opinion action should be taken to prevent future deaths and believe you have the power to take such action:
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.