Lack of family involvement in crisis care
Camden and Islington NHS Foundation Trust received 2 coroners' reports about this hazard between 11 Jan 2017 and 23 Apr 2024.
They came from 2 different coroners in 2 coroner areas. A similar concern was raised again 1 time after the first warning.
A published response was found for 1 of the 1 earlier reports, stating 2 specific actions.
The story, report by report
Spacing grows with the time between reports.
“I heard evidence from the consultant psychiatrist responsible for Ms [name redacted] care at Crisis House that it is not routine for the crisis team to involve family members in the care of a patient.”
Original on judiciary.uk ↗ Camden and Islington NHS Foundation Trust responded, stating 2 specific actions.Response (PDF) ↗
“We have also reinforced the importance of working with families in our updated, risk assessment training which has been rolled out over the last 12 months.”
Stated timescale: last year
“we have issued staff at North Camden Crisis House with clear guidance to ensure that numbers and contact details are clearly provided to families participating in a services user's care so they are able to speak directly to a senior staff member.”
- 7 years 3 months laterClosely relatedConfidence 0.85 · higha different coroner
“Mr [name redacted] lived with his sister, who wanted very much to be involved with his care. However, I did not hear any evidence of engagement with her by C&I, either:”
Original on judiciary.uk ↗ Repeated from the earlier report:careevidence
Camden and Islington NHS Foundation Trust responded.Response (PDF) ↗
- All reports to Camden and Islington NHS Foundation Trust
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.
2017 → 2024Emmanuel Ladapo7 years 3 months after Emily Voukelatou · different coronerClosely relatedConfidence 0.85 · high
Closely relatedConfidence 0.85 · highBoth reports highlight insufficient involvement of families in patients' care and communication. The earlier report focuses on not routinely inviting family to meetings and unanswered calls; the later report notes a general lack of family engagement across services.
Emily Voukelatou · 11 Jan 2017
“I heard evidence from the consultant psychiatrist responsible for Ms [name redacted] care at Crisis House that it is not routine for the crisis team to involve family members in the care of a patient.”
Original on judiciary.uk ↗ Emmanuel Ladapo · 23 Apr 2024
“Mr [name redacted] lived with his sister, who wanted very much to be involved with his care. However, I did not hear any evidence of engagement with her by C&I, either:”
Original on judiciary.uk ↗ Stated action in the response to the earlier report
“We have also reinforced the importance of working with families in our updated, risk assessment training which has been rolled out over the last 12 months.”
Stated action · timescale: last year
“We have also reinforced the importance of working with families in our updated, risk assessment training which has been rolled out over the last 12 months.”
Stated action
“we have issued staff at North Camden Crisis House with clear guidance to ensure that numbers and contact details are clearly provided to families participating in a services user's care so they are able to speak directly to a senior staff member.”
No specific action could be extracted with a verified quote.
- Each report's concerns were extracted by Nemotron 3 Nano on Nebius Token Factory, each with a quote copied from the report.
- Concerns from reports to Camden and Islington NHS Foundation Trust at least six months apart were compared by meaning (Qwen3 embeddings) and wording (TF-IDF).
- The closest pairs were judged by Nemotron 3 Super with reasoning on. Only identical or closely related, with confidence of at least 0.70, are shown.
- Every quote was checked by code as an exact substring of the original text. Names of staff and family are redacted, and the deceased are named by report title only.
| Link | Meaning | Wording | Judge | Coroner |
|---|---|---|---|---|
| 2017 → 2024 | 0.71 | 0.06 | Closely related · 0.85 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
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Other chains for Camden and Islington NHS Foundation Trust
This shows that a similar concern was raised again after an earlier report. It does not say why, and it is not a finding about any organisation or person. To report an error, see the corrections route.