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recurance

Martyn Stringer

7 Aug 2024 · Coroner Nicholas Graham · Oxfordshire

This report repeats 1 earlier warning, and was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. lack of mental health beds for compulsory detention

    “It is the case that a Health Based Place of Safety bed did become available but a decision was taken that due to anticipated demand for potential patients not to offer this to [the deceased]”

Linked reports

Repeats an earlier warningAnthony Watson12 Feb 2019 · 5 years 6 months earlier
Closely relatedConfidence 0.80 · moderate

Earlier report

“Mr [name redacted] was aged 72. The Community Mental Health Team advised on 18/10/18 that he required an immediate admission for inpatient mental health treatment for his own safety. However, this could not happen as no bed was available within the area.”
Original on judiciary.uk ↗

This report

“It is the case that a Health Based Place of Safety bed did become available but a decision was taken that due to anticipated demand for potential patients not to offer this to [the deceased].”
Full chain: Delayed transfer of acute mental health prisoners to secure units
Raised again laterDiana Grant24 Nov 2025 · 1 year 4 months later
Closely relatedConfidence 0.80 · moderate

This report

“It is the case that a Health Based Place of Safety bed did become available but a decision was taken that due to anticipated demand for potential patients not to offer this to [the deceased].”

Later report

“it remains extremely unlikely that such a person will be granted immediate admission to a secure mental health unit. This is principally because of the restricted capacity of the secure mental health unit estate”
Original on judiciary.uk ↗
Full chain: Delayed transfer of acute mental health prisoners to secure units

Responses

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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