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recurance

Joanna Leven

30 Apr 2021 · Coroner Chris Morris · Greater Manchester (South)

A similar concern from this report was raised again 2 times later. See the linked reports.

The coroner's concerns

  1. 1. lack of national therapeutic pathway for personality disorder treatment

    “no national therapeutic pathway for | treatment of Personality Disorders”
  2. 2. gaps in statutory agency provision of trauma-specific mental health services

    “gaps in provision by | statutory agencies of counselling and other mental health services specifically tailored for victims of trauma, violence and domestic abuse”
  3. 3. incompatible electronic records between hospital and mental health liaison staff

    “Hospital and Mental Health Liaison staff are working with different | computer-based records systems”

Linked reports

Raised again laterCorinne Haslam21 Jul 2023 · 2 years 3 months later
Identical hazardConfidence 0.90 · high

This report

“Hospital and Mental Health Liaison staff are working with different | computer-based records systems.”

Later report

“Mental Health Trusts and Acute Trusts operate different (apparently incompatible) electronic records systems.”
Original on judiciary.uk ↗
Full chain: Incompatible electronic records between mental and physical health services
Raised again laterSophie Towle24 Oct 2025 · 4 years 6 months later
Closely relatedConfidence 0.80 · moderate

This report

“The court heard evidence that there is no national therapeutic pathway for | treatment of Personality Disorders”

Later report

“I am told that as of mid-October 2025, the Personality Disorder Hub at NHCT has been disbanded.”
Original on judiciary.uk ↗
Full chain: Lack of specialised personality disorder services

Responses

2021-0126-Response-from-Dept.-of-Health-Social-Care_Published.pdf ↗· Department of Health and Social Care

Stated action · 2023/24

“Local areas will be supported to redesign and reorganise core community mental health teams to move towards a new place-based, multidisciplinary service across health and social care aligned with primary care networks.”
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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.

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