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recurance

Karen Edgar

16 Apr 2018 · Coroner David Roberts · Cumbria

A similar concern from this report was raised again 3 times later. See the linked reports.

The coroner's concerns

  1. 1. underfunded mental health services for children and young people

    “The provision of mental health services for children and young people in Cumbria is underfunded”
  2. 2. long delays in treatment

    “There are long delays in getting treatment”
  3. 3. unresolved mental health issues in young people

    “Failure to provide for these young people means they risk entering adulthood with unresolved mental health issues”
  4. 4. loss and damage to lives and families

    “Lives are lost and damaged; including the effect on families as a whole”
  5. 5. high financial cost of deaths due to inadequate mental health services

    “The financial cost to the state of such deaths is huge; 4 paramedics attended as did an out of hours doctor; at least 11 police staff; hospital staff; A&E consultant; Local Safeguarding processes; costs of inquests and Trust's legal representation etc. all of which would be better spent on prevention”
  6. 6. replication of mental health service failures nationwide

    “It is likely that any of these problems are replicated across the country hence the reference to the | Secretary for State”

Linked reports

Raised again laterDaniel Shorrocks1 Aug 2019 · 1 year 4 months later
Closely relatedConfidence 0.85 · high

This report

“(1) The provision of mental health services for children and young people in Cumbria is underfunded.”

Later report

“(1) | ask please that your Department reviews the availability of resources to those Local Authorities which have a high proportion of young people in care and disproportionately few qualified and experienced staff.”
Original on judiciary.uk ↗
Full chain: Insufficient mental health resources for children and young people
Raised again laterRobyn Skilton7 Aug 2022 · 4 years 4 months later
Closely relatedConfidence 0.90 · high

This report

“(1) The provision of mental health services for children and young people in Cumbria is underfunded.”

Later report

“Due to the lack of availability of a Child Psychiatrist there are long waiting times for children to be assessed.”
Original on judiciary.uk ↗
Full chain: Insufficient mental health resources for children and young people
Raised again laterCharley Patterson19 Oct 2022 · 4 years 6 months later
Closely relatedConfidence 0.90 · high

This report

“(1) The provision of mental health services for children and young people in Cumbria is underfunded.”

Later report

“I ask for there to be an assessment of the services and resources that can be offered to meet the increase in demand in the number of children and young people seeking support with regard to their emotional well-being, psychological distress and mental health difficulties which have impacted on them since the Coronavirus pandemic and to reduce the delay in receiving early support in order to avoid a mental health crisis.”
Original on judiciary.uk ↗
Full chain: Insufficient mental health resources for children and young people

Responses

2018-0106-Response-by-Department-of-Health-Social-Care.pdf ↗· Department of Health and Social Care

Stated action

“the CCGs are working to implement an action plan to address the issues raised in your Report.”
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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