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recurance

Insufficient mental health support for PTSD service personnel

Closely relatedConfidence 0.85 · high3 reports · 2024–2025 One-page brief (print or PDF)

Ministry of Defence received 3 coroners' reports about this hazard between 7 Feb 2024 and 31 Jan 2025.

They came from 3 different coroners in 3 coroner areas. A similar concern was raised again 2 times after the first warning.

A published response was found for 2 of the 2 earlier reports, stating 2 specific actions.

3
reports
3
different coroners
2024–2025
years
0.85
lowest link confidence

The story, report by report

Spacing grows with the time between reports.

  1. First warning

    James Day↗

    7 Feb 2024 · Alison Mutch · Manchester South

    “support for service personnel with severe PTSD such as Mr [name redacted] whilst they were still serving and following discharge was patchy, difficult to access”
    Original on judiciary.uk ↗

    Ministry of Defence responded, stating 1 specific action.Response (PDF) ↗

    “I have asked the Head of the Defence Inquests Unit (DIU) to provide you separately with the details of the support Mr [name redacted] did receive.”
  2. 8 months later

    Raised again · 1st time

    Paul Chase↗

    14 Oct 2024 · Anita Bhardwaj · Liverpool and Wirral

    Closely relatedConfidence 0.90 · higha different coroner
    “The lack of mental health/alcoholism/addiction support, treatment and therapy provided to veterans whilst they are:”
    Original on judiciary.uk ↗

    Repeated from the earlier report:supportwhilst

    Ministry of Defence responded.Response (PDF) ↗

  3. 4 months later

    Raised again · 2nd time

    Aeran Taylor↗

    31 Jan 2025 · Joseph Turner · West Sussex, Brighton and Hove

    Closely relatedConfidence 0.85 · higha different coroner
    “there appears to have been no inquiry or check as to possible correlation with potential PTSD or other reasons for the behaviour, such as a lack of effective post- tour decompression”
    Original on judiciary.uk ↗

    Ministry of Defence responded, stating 1 specific action.Response (PDF) ↗

    “The OVA are also exploring options to better coordinate and cohere the support for veterans. This includes those with the most complex needs, across central, devolved and local government, and the third sector. The focus is to improve data and insights, governance and accountability in an institutionally resilient way, and how we work more closely with local service providers including local authorities.”
  4. All reports to Ministry of Defence

Next

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.

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error