Mike 🇬🇧 🇪🇺The final Safeguarding Report into the catastrophic suicide attempt by our daughter about 2 years has been published.
Although I was fully involved during the preparation of this report it is horrifying seeing the full catalogue of errors and missed opportunities laid bare in black & white.
Although there's the usual sections about 'whats changed' & 'recommendations', I have very little faith that the agencies involved - Mental health services, police, GP surgery, acute hospitals - will make sufficient progress to prevent something similar happening to someone else.
A lot of this is organisational inertia, lack of communication & poor professional behaviour, but it's underpinned by each and every one of the organisations involved being chronically underfunded.
(Edit ; our daughter has made an excellent recovery and although not fully 'well', is now living in supported accommodation. She is in constant pain.)