Making a LeDeR referral

Case Study background

Benjamin’s nephew Joseph was 24 when he died in hospital. He was being treated for a wound on his leg which had been getting progressively worse…

Benjamin is put in touch with Louise, a volunteer solicitor, by the Mencap helpline team.

Referring to LeDeR

How to make a referral

Benjamin informs Louise that the hospital had failed to make a referral to LeDeR for the case to be reviewed following Joseph’s death. Louise says that this is an important thing for families to ensure is done, because all deaths of a person with a learning disability following NHS treatment must be reported to LeDeR. This is to help create data on these deaths to better understand what the causes are and what can be done to prevent them.

Reports for a LeDeR review are made here.  

The referral asks for:

  • The referrer’s relationship to the person who died 

  • Whether they had a learning disability and/or autism 

  • Their age when they died 

  • Whether they came into contact with the criminal justice system or had any mental health restrictions at the time of their death or in the 5 years leading up to their death  

  • Whether the person opted-out from having their health records being used for research and planning 

  • Their name, date of birth, date of death, sex at birth and whether their gender was the same as their birth sex 

  • Their usual address before they died  

  • Where they died (e.g type of hospital, their home, a hospice, residential home) and whether this was their usual place of residence 

  • Whether their death has been registered 

  • If the referrer believes the death is related to COVID-19 

  • Whether anyone else has been notified about the death  

  • The concerns the referrer had about their death such as: 

    • Abuse 

    • Neglect or acts of ommission

    • Coordination of care 

    • Diagnosis  

    • Timeliness of treatment 

  • Their ethnic group, religion, and relationship (e.g single, married) 

  • Their NHS number and registered GP surgery  

  • Details of their next of kin/someone who knew them well 

  • Referrer’s details 


Process of a LeDeR Referral

XX helps Joseph write a letter which sets out the problems that he has identified with Joseph’s care both when he was first in hospital and upon his second admission.

As a result, the trust agree to undertake a focussed review….

How to get help with making a Referral

Rachel’s Voice

If you would like some initial assistance, and feel that a lack of learning disability accommodation caused the death of someone you know, Rachel’s Voice can help support with making a referral to the LeDeR program. When the response comes through, we can help you understand it and raise any further questions before a meeting takes place. 

We recommend time is taken to view the report with an adviser before any meeting so you are able to think about what questions the report has raised and that you have had time to consider the outcome.