Lack of acute psychiatric beds in cornwall
Kernow Clinical Commissioning Group received 2 coroners' reports about this hazard between 2 Feb 2015 and 24 May 2016.
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 1 specific action.
The story, report by report
Spacing grows with the time between reports.
“It was established in evidence that Mr [name redacted] death was not caused by the lack of an acute psychiatric bed.”
Original on judiciary.uk ↗ Kernow Clinical Commissioning Group responded, stating 1 specific action.Response (PDF) ↗
“This pathway includes services to support the health and well-being of the individual through a variety of 3rd sector services, employment support, ethnic minority group support, befriending services and community groups as per the Living Well model, which is being rolled out across the County and has national Pioneer status.”
Stated timescale: rolled out across the County
- 1 year 4 months laterClosely relatedConfidence 0.90 · higha different coroner
“To review the availability of beds for psychiatric patients in Cornwall.”
Original on judiciary.uk ↗ The most recent report. A response may not be due or published yet.
- All reports to Kernow Clinical Commissioning Group
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.
2015 → 2016Simon Klineberg1 year 4 months after George Taylor · different coronerClosely relatedConfidence 0.90 · high
Closely relatedConfidence 0.90 · highBoth reports highlight concerns about insufficient acute psychiatric bed capacity in Cornwall. The earlier report warns that a shortage could lead to future deaths, while the later report calls for a review of bed availability.
George Taylor · 2 Feb 2015
“It was established in evidence that Mr [name redacted] death was not caused by the lack of an acute psychiatric bed.”
Original on judiciary.uk ↗ Simon Klineberg · 24 May 2016
“To review the availability of beds for psychiatric patients in Cornwall.”
Original on judiciary.uk ↗
Stated action · timescale: rolled out across the County
“This pathway includes services to support the health and well-being of the individual through a variety of 3rd sector services, employment support, ethnic minority group support, befriending services and community groups as per the Living Well model, which is being rolled out across the County and has national Pioneer status.”
No published response from Kernow Clinical Commissioning Group was found for this report. It is the most recent report, so a response may not be due or published yet.
- 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 Kernow Clinical Commissioning Group 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 |
|---|---|---|---|---|
| 2015 → 2016 | 0.72 | 0.14 | Closely related · 0.90 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
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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.