Anthony Watson
12 Feb 2019 · Coroner James Bennett · Birmingham and Solihull
A similar concern from this report was raised again 5 times later. See the linked reports.
The coroner's concerns
1. no inpatient mental health bed available
“Mr [name redacted] was aged 72. The Community Mental Health Team advised on 18/10/18 that he required an immediate admission for inpatient mental health treatment for his own safety. However, this could not happen as no bed was available within the area. Three days later there was still no bed available. Mr [name redacted] was not offered a bed out-of-area”
Linked reports
Closely relatedConfidence 0.86 · high
This report
“Mr [name redacted] was aged 72. The Community Mental Health Team advised on 18/10/18 that he required an immediate admission for inpatient mental health treatment for his own safety. However, this could not happen as no bed was available within the area.”
Later report
“there are about 12 hours of delay following a 22.00 s2 Mental Health Act assessment built into the system if there is no bed.”
Closely relatedConfidence 0.86 · high
This report
“Mr [name redacted] was aged 72. The Community Mental Health Team advised on 18/10/18 that he required an immediate admission for inpatient mental health treatment for his own safety. However, this could not happen as no bed was available within the area.”
Later report
“The court also heard that there is an ongoing shortage of available inpatient psychiatric beds in Surrey and that this is in the context of a national shortage of inpatient psychiatric beds.”
Closely relatedConfidence 0.86 · high
This report
“Mr [name redacted] was aged 72. The Community Mental Health Team advised on 18/10/18 that he required an immediate admission for inpatient mental health treatment for his own safety. However, this could not happen as no bed was available within the area.”
Later report
“The gatekeeping assessment included a mental health state examination, where it was the clinical opinion of the mental health practitioner from the Crisis Resolution Home Treatment Team, that Ms [name redacted] required an inpatient hospital admission to a mental health ward as there was an immediate risk to her safety as she was found to be a high risk of walking in front of a car. Whilst Ms [name redacted] agreed to an informal admission, this was not possible at the time of assessment as there were no beds”
Closely relatedConfidence 0.80 · moderate
This report
“Mr [name redacted] was aged 72. The Community Mental Health Team advised on 18/10/18 that he required an immediate admission for inpatient mental health treatment for his own safety. However, this could not happen as no bed was available within the area.”
Later report
“It is the case that a Health Based Place of Safety bed did become available but a decision was taken that due to anticipated demand for potential patients not to offer this to [the deceased].”
Identical hazardConfidence 0.90 · high
This report
“Mr [name redacted] was aged 72. The Community Mental Health Team advised on 18/10/18 that he required an immediate admission for inpatient mental health treatment for his own safety.”
Later report
“Evidence given by the court appointed expert consultant psychiatrist was that Ms [name redacted] was not adequately medicalised and that she needed assessment and medical review with optimisation of treatment in a mental health hospital. Her response to treatment needed to be observed.”
Responses
2019-0044-Response-by-Birmingham-and-Solihull-CCG.pdf ↗· Birmingham and Solihull Clinical Commissioning Group
2019-0044-Response-by-NHS-England.pdf ↗· NHS England
Stated action · 2021
“NHS. England has committed to eliminating. the practice. of sending people out of-area for non-specialist acute inpatient:care due to”