James Sheppard
8 May 2025 · Coroner Roland Wooderson · Gloucestershire
This report repeats 3 earlier warnings. See the linked reports.
The coroner's concerns
1. insufficient psychiatric beds
“There appear to be insufficient beds available in psychiatric units to meet patient demand.”
Linked reports
Identical hazardConfidence 0.90 · high
Earlier report
“One continuing difficulty was the "lack of acute psychiatric beds" in Cornwall.”
This report
“There appear to be insufficient beds available in psychiatric units to meet patient demand.”
Identical hazardConfidence 0.95 · high
Earlier report
“It was clear from the investigation that at the time of [the deceased] ligaturing in May 2019 there was an national shortage of acute pyschiatric beds”
This report
“There appear to be insufficient beds available in psychiatric units to meet patient demand.”
Identical hazardConfidence 0.90 · high
Earlier report
“Despite these steps there remain insufficient beds available to meet patient need.”
This report
“There appear to be insufficient beds available in psychiatric units to meet patient demand.”