Bethany Hewitt
2 Jul 2026 · Coroner Sarah Murphy · Cheshire
The coroner's concerns
1. long waiting times for ADHD diagnostic assessment
“[the deceased] had been waiting for three years for an ADHD diagnostic assessment and had not been assessed at the time of her death”
2. staff shortages affecting ADHD assessment wait times
“I am concerned that staff levels are impacting on waiting times for diagnostic ADHD assessments and is causing significant delays”
3. important external communication not reviewed by GP
“I am concerned that there is a risk that important external communication is not reviewed by GP's at the Grove House”
4. lack of follow up appointments after mental health consultation
“Follow up appointments were not always offered by GP's at Grove House Medical Practice”
5. missed opportunity to use Right to Choose for earlier ADHD assessment
“The "Right to Choose" option for an ADHD assessment was not offered until the 3rd February 2026, which was almost 3 years after the initial referral”