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recurance

Paul Gillam

11 Feb 2019 · Coroner Guy Davies · Cornwall & the Isles of Scilly

This report repeats 1 earlier warning. See the linked reports.

The coroner's concerns

  1. 1. lack of integrated dual diagnosis service

    “The operation of the Cornwall dual diagnosis policy and the interface between Addaction and CMHT”

Linked reports

Repeats an earlier warningMarcus Hance7 Jun 2018 · 8 months earlier
Closely relatedConfidence 0.90 · high

Earlier report

“The approach to cases of dual diagnosis, that substance misuse should be addressed before any mental health treatment could proceed.”
Original on judiciary.uk ↗

This report

“The operation of the Cornwall dual diagnosis policy and the interface between Addaction and CMHT.”
Full chain: Sequential treatment of dual diagnosis

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