Skip to content
recurance

Alex Dews

10 Oct 2023 · Coroner Abigail Combes · South Yorkshire (Western)

This report repeats 1 earlier warning. See the linked reports.

The coroner's concerns

  1. 1. lack of referral to mental health services

    “[the deceased] was not referred by school to NHS mental health services as a result of their experience that if [the deceased] was in receipt of any other support he would not be accepted onto the waiting list (which would be in excess of 10 months to be seen)”
  2. 2. unclear allocation of school psychology support

    “The school chose to provide [the deceased] with school procured psychology support however the process of allocation of provision was not clear”
  3. 3. lack of communication with support provider

    “The school did not have a clear communication process with the provider of support to either refer the student into services or to receive outputs from those services once the student completed their sessions”

Linked reports

Repeats an earlier warningShaun Turner3 Mar 2020 · 3 years 7 months earlier
Closely relatedConfidence 0.80 · moderate

Earlier report

“whilst they accepted that there had been attempted contact of him by mental health services he was worried about how long it would take him to be able to access appropriate mental health services and receive support.”
Original on judiciary.uk ↗

This report

“[the deceased] was not referred by school to NHS mental health services as a result of their experience that if [the deceased] was in receipt of any other support he would not be accepted onto the waiting list”
Full chain: Excessive waiting time for psychotherapy

Responses

  • Built with
  • NVIDIA Nemotron Nano, Super and Ultra
  • Nebius Token Factory inference
  • Qwen3 Embedding 8B on Token Factory
  • Tavily follow-up web search
  • Postgres and pgvector search
  • Next.js site

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