(1) It was established in evidence at the inquest that practitioners from the Kent Medway NHS and Social Care Partnership Trust did not inform Mr. Anderson's GP of his involvement with primary care on either occasion he was admitted to hospital, resulting in him not being able to obtain a further supply of medication without the intervention of his family (2) Evidence was given at the Inquest that following Mr: Anderson's discharge from hospital a number of attempts were made to contact him to assess his wellbeing and needs. Although Mr. Anderson was spoken to briefly, it was accepted by the Trust that too much reliance was placed on information from family members_ As a result Mr. Anderson had virtually no contact with the Access team prior to his death: understand that a practice note has recently been drafted which is intended to be used as guidance Mr: Anderson's discharge from hospital occurred at an earlier stage than had been planned as he wished to leave and was deemed safe to do so_ As a consequence, care plan had not been put in place to establish his needs heard evidence that following Mr: Anderson's death procedures have been in place to ensure that this situation does not reoccur