Linsay Bushell
25 Apr 2017 · Coroner Andre Rebello · Liverpool and Wirral
The coroner's concerns
1. lack of therapeutic psychological services
“40% to 50% of mentally disordered female patients suffered from EUPD rather than mental illness and yet there was no provision or priority for therapeutic psychological services to be commissioned in the NHS England Area”
2. risk of self-harm or suicide
“The real and imminent risk of self-harm or suicide was recognised during [the deceased]'s care at the Broadoak Unit in the time leading up to her death”