Untrained staff conducting mental health assessments

Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals. ?Every quote shown was checked by code to appear word for word in the original report.

• 2024 → 2026Abbigail Smith (3)1 year 11 months after Aaron Deeley · same coronerClosely relatedConfidence 0.92 · high

  Closely relatedConfidence 0.92 · high

  Both reports highlight a shortage of adequately trained mental health staff to manage patients who are awaiting assessment under the Mental Health Act and are at risk of self‑harm. The earlier report focuses on the absence of specialist training for conducting mental health assessments, while the later report stresses insufficient trained personnel to provide enhanced observations during that same

  Aaron Deeley · 19 Jun 2024

  “The acute care healthcare professionals do not have specialist mental health training to conduct a mental health assessment and the consequential presenting harm.”

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  Abbigail Smith (3) · 27 May 2026

  “There were not sufficient trained staff to conduct the enhanced observations required to monitor Abbi with her known risk of severe self-harm whilst she was awaiting assessment under the Mental Health Act and actively attempting to take her own life.”

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  Stated action in the response to the earlier report

  “We have therefore added a new flowchart to our 'Admission & Treatment of Patients with a Mental Health Disorder in an Acute Hospital Setting' Policy. A copy of the flowchart is attached for reference.”

  Earlier report in the app · Later report in the app