A CORONER has called for urgent action from the region’s mental health trust to review the way its staff are trained following the tragic suicide of a Bolton builder.

Daniel Moran, aged 32, was found hanged at his home in Bentley Court, Farnworth, on July 14, 2019, after self-discharging from hospital, contrary to medical advice.

An inquest in January 2020 heard that Mr Moran had a complex medical history, including depression and alcohol misuse, and had attempted to end his own life on multiple occasions in the period leading up to his death.

He was hospitalised following a suicide attempt on July 11, 2019, and was admitted the following day as a voluntary patient.

However, during this period Mr Moran was said to have become aggressive and agitated, and requested self-discharge.

As he did not meet the criteria to be detained under the Mental Health Act, the 32-year-old was then allowed to discharge himself.

In a report to prevent future deaths from occurring, sent to the chief executive of the Greater Manchester Mental Health NHS Foundation Trust, assistant coroner for Manchester West, Rachel Syed, raised concerns about staff training on four identified issues.

Ms Syed's report stated: “During the course of the inquest the evidence revealed matters giving rise to concern.

"In my opinion there is a risk that future deaths will occur unless action is taken.”

One of the matters of concern was staff being unaware of situations where it was “appropriate to breach patient confidentiality and notify family or friends, when concerns arose regarding patient safety/welfare”.

Ward staff also need to have “greater understanding of how how to prioritise new admissions and ensure the better flow of patients through the ward”, the report added.