Reece Lapina-Amarelle
9 Aug 2019 · Coroner Alan Craze · East Sussex
This report repeats 1 earlier warning, and was raised again 1 time later. See the linked reports.
The coroner's concerns
1. lack of resources and treatment system for serious mental illness and substance misuse
“There are no resources and no system of treatment for people who present with serious mental ilIness and aicohol or drug misuse histories”
2. insufficient information sharing between Mental Health Trust and CGL
“insufficient sharing of information between the Mental Health Trust and CGL (the Substance and Alcohol Misuse Service)”
3. voluntary nature of substance misuse service preventing compulsory treatment
“That latter service is voluntary and, outside the criminal justice system, the subject cannot be forced to access and receive help or to cooperate with that service”
4. Mental Health Act insufficient focus on safety and life preservation
“The Mental Health Act still concentrates on therapy without giving sufficient emphasis, in my view, to safety and, in blunt terms, keeping people alive”
5. lack of preventive action leading to worsening issues
“without action these issues are simply going to get worse”
Linked reports
Identical hazardConfidence 0.92 · high
Earlier report
“As | understand it, the question of patients giving their consent for access to RiO records by CRI (and indeed for Nottinghamshire Healthcare to have access to CRI records) has not been considered by either organisation.”
This report
“(2) There is insufficient sharing of information between the Mental Health Trust and CGL (the Substance and Alcohol Misuse Service).”
Identical hazardConfidence 0.90 · high
This report
“There are no resources and no system of treatment for people who present with serious mental ilIness and aicohol or drug misuse histories.”
Later report
“There continues to be a chronic lack of resources to treat seriously mentally ill patients in Birmingham and Solihull.”
Responses
2019-0274-Response-by-Department-of-Health-and-Social-Care.pdf ↗· Department of Health and Social Care
Stated action
“I have asked my officials to make your report and the circumstances of this case known to the Care Quality Commission, the independent regulator of healthcare services in England.”
2019-0274-Response-by-NHS-England.pdf ↗· NHS England
Stated action · 2023/24
“The NHS Long Term Plan, published earlier this year, details how new and integrated models of primary and community health services will transform the delivery of mental health care for adults and older adults with SMI, including people with a 'personality disorder' and those with co-existing substance misuse. As the NHS Mental Health Implementation Plan 2019/20 - 2023/24 sets out, this new community-based offer, backed by significant investment over the next five years, will include access to psychological”