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recurance

Dean Crossman

26 May 2022 · Coroner Jo Wharton · Teesside and Hartlepool

The coroner's concerns

  1. 1. delays to MHA assessments

    “Evidence was given at the inquest that at the time of [the deceased]'s passing, there were issues accessing second (s.12) doctors out of office hours for the purpose of carrying out a MHA assessment, resulting in delays to MHA assessments being carried out.”
  2. 2. timely attendance of private ambulance service

    “Evidence was given at the inquest that at the time of [the deceased]'s passing, there were issues securing the timely attendance of the private ambulance service (ERS Medical) to transport patients after a MHA assessment had taken place, potentially resulting in an increased risk to both the AMHP and the patient for MHA assessments in the community.”
  3. 3. ongoing national issues

    “Evidence was given at the inquest that both of the above matters of concern are on-going national issues.”

Responses

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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.

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