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recurance

Nicholas Spooner

28 Jun 2021 · Coroner Veronica Hamilton-Deeley · Brighton and Hove

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 specialist dual diagnosis services

    “Specialist dual diagnosis service needed with outreach facilities including drop-in and day centres to provide support for those in mental health crisis which is inextricably entwined with their substance abuse and who are often denied that mental health support.”

Linked reports

Repeats an earlier warningShane Hardy16 Jan 2017 · 4 years 5 months earlier
Identical hazardConfidence 0.90 · high

Earlier report

“Individuals who suffer with addictions and mental health difficulties can fall between the services.”
Original on judiciary.uk ↗

This report

“Specialist dual diagnosis service needed with outreach facilities including drop-in and day centres to provide support for those in mental health crisis which is inextricably entwined with their substance abuse”
Full chain: Lack of assistance for individuals with addictions and mental health difficulty
Raised again laterChristopher Lloyd26 Aug 2022 · 1 year 2 months later
Identical hazardConfidence 0.90 · high

This report

“Specialist dual diagnosis service needed with outreach facilities including drop-in and day centres to provide support for those in mental health crisis which is inextricably entwined with their substance abuse and who are often denied that mental health support.”

Later report

“it is a matter of concern that he did not have ready access to a dual-diagnosis service locally.”
Original on judiciary.uk ↗
Full chain: Lack of local dual-diagnosis services

Responses

2021-0360-Response-from-BHCC-CCG-SPFT-and-CGL_Published.pdf ↗· Sussex Partnership NHS Trust

Stated action · summer of 2022

“the CCG is in the process of commissioning a new crisis house that will provide support to people in a mental health crisis who require 24/7 support and would otherwise be admitted to hospital. The tender for this service will be issued in October 2021 and the new service will start in the summer of 2022.”

2021-0360-Response-from-Dept.-of-Health-and-Social-Care_Published.pdf ↗· Department of Health and Social Care

Stated action

“We are clear that commissioners and providers of services have a joint responsibility to work collaboratively to meet the needs of people with co-occurring conditions.”

2021-0360-Response-from-NHS-Social-Care.pdf ↗· Department of Health and Social Care

Stated action · 01 November 2022

“the procurement process has completed, the contract has been awarded to Mental Health Matters and the service will start on 01 November 2022”
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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