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recurance

Kirsty Taylor

28 Jul 2023 · Coroner Christopher Wilkinson · Hampshire, Portsmouth and Southampton

A similar concern from this report was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. fragmented relationship between mental health and physical health services

    “there is and remains a fragmented relationship between mental health and physical health services, with little inter-service connectivity”
  2. 2. mental health provision for personality disorders

    “mental health provision for those with personality disorders must move towards an individual, therapeutic and trauma-informed approached”
  3. 3. ineffective communication with families of patients with mental health difficulties

    “communication with the families of patients with mental health difficulties is still not being effectively achieved”
  4. 4. lack of information and assistance for families of patients with neurodiversity

    “more needs to be done to inform and assist families, particularly in cases of patients with neurodiversity”

Linked reports

Raised again laterEthel Robertson17 Nov 2025 · 2 years 4 months later
Identical hazardConfidence 0.90 · high

This report

“there is and remains a fragmented relationship between mental health and physical health services, with little inter-service connectivity.”

Later report

“If the presentation at the hospital was for a mental health related issue, then the OPMH team is likely notified as there will be contact with the psychiatric liaison service in the hospital.”
Original on judiciary.uk ↗
Full chain: Fragmented communication between mental and physical health services

Responses

2023-0507-Response-from-Hampshire-and-Isle-of-Wight.pdf ↗· Hampshire and Isle of Wight Integrated Care Board

2023-0507-Response-from-NHS-England.pdf ↗· NHS England

Stated action · 2021/22

“As part of the NHS Long Term Plan, all systems in England have been receiving significant funding from 2021/22 to develop and roll out new models of integrated primary and community mental health care in line with the Community Mental Health Framework for the improved support of adults with severe mental illness in their community and to integrate mental, physical and social care. A key requirement of the new model of care is the provision of a dedicated community mental health offer for those with”

2023-0507-Response-from-Southern-Health-NHS-Foundation-Trust.pdf ↗· Southern Health NHS Foundation Trust

Stated action · 1 April 2024

“The creation of this new provider is progressing at pace (Project Fusion) with the new legal entity due to be in place by 1 April 2024.”
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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