Recurance · prevention of future deaths reports
Pre-inquest brief
Inconsistent mental health service provision for 16-18 year olds
The earlier warning
Daisy French · 9 Nov 2017 · Louise Slater, South Yorkshire (West)
“Out of hour's provision for 16 to 18 years. (During working hours they are considered children and therefore are the responsibility of CAMHS,”
judiciary.uk/prevention-of-future-death-reports/daisy-french
What was promised
Stated action 1 · response to Daisy French (9 Nov 2017) · stated timescale: none stated
“SC NHS FT will work with local commissioners on the benchmarking exercise”
judiciary.uk/…/2017-0264-Response-by-Sheffield-Health-and-Socia…
Stated action 2 · response to Daisy French (9 Nov 2017) · stated timescale: January 2018
“the NHS in Sheffield has taken a number of measures to address the concerns raised. This includes training for staff on transitions; the opening of a Section 136 suite at Sheffield Children's Hospital; and the employment of a Mental Health Liaison Consultant to commence in January 2018. In addition, an information sharing agreement is to be drawn up between NHS organisations in Sheffield.”
judiciary.uk/…/2017-0264-Response-by-Department-of-Health.pdf
What recurred
- 1 Oct 2019 · Oliver Sharp · Alison Mutch · Closely related · confidence 0.80 (moderate)
The clearest link, quoted from both reports:
Earlier · Daisy French · 9 Nov 2017
“Out of hour's provision for 16 to 18 years. (During working hours they are considered children and therefore are the responsibility of CAMHS,”
Later · Oliver Sharp · 1 Oct 2019
“The inquest was told that the provision of mental health services post 16 varies widely across the country.”
What happened next
No web check of the stated actions has been published for this chain.