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Recurance · prevention of future deaths reports

Pre-inquest brief

Insufficient mental health resources for children and young people

Organisation: Department of Health and Social Care · Generated: 26 Oct 2026

Recurance · recurance.com/chains/919267208cd5ac76

The earlier warning

Karen Edgar · 16 Apr 2018 · David Roberts, Cumbria

“(1) The provision of mental health services for children and young people in Cumbria is underfunded.”

judiciary.uk/prevention-of-future-death-reports/karen-edgar

What was promised

Stated action 1 · response to Karen Edgar (16 Apr 2018) · stated timescale: none stated

“the CCGs are working to implement an action plan to address the issues raised in your Report.”

judiciary.uk/…/2018-0106-Response-by-Department-of-Health-Socia…

Stated action 2 · response to Robyn Skilton (7 Aug 2022) · stated timescale: 2023/24

“we are working nationally to support local areas to expand mental health services so that more people can access the care and support they need.”

judiciary.uk/…/2022-0247-Response-from-department-of-Health-and…

What recurred

  • 1 Aug 2019 · Daniel Shorrocks · Ian Arrow · Closely related · confidence 0.85 (high)
  • 7 Aug 2022 · Robyn Skilton · Penelope Schofield · Closely related · confidence 0.90 (high)
  • 19 Oct 2022 · Charley Patterson · Andrew Hetherington · Closely related · confidence 0.90 (high)

The clearest link, quoted from both reports:

Earlier · Karen Edgar · 16 Apr 2018

“(1) The provision of mental health services for children and young people in Cumbria is underfunded.”

Later · Robyn Skilton · 7 Aug 2022

“Due to the lack of availability of a Child Psychiatrist there are long waiting times for children to be assessed.”

What happened next

No web check of the stated actions has been published for this chain.

Every quote is verified word for word against the original report on judiciary.uk. A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person.

Source: Courts and Tribunals Judiciary, Open Government Licence v3.0.