Skip to content
recurance

Robin Ward

18 Oct 2024 · Coroner Hassan Shah · Northamptonshire

This report repeats 3 earlier warnings. See the linked reports.

The coroner's concerns

  1. 1. acute mental health bed shortage

    “there are increasing pressures both locally and nationally with regards to the provision of acute mental health beds”
  2. 2. use of crisis house for acute mental health care

    “we try to avoid supporting those waiting for an acute bed within crisis houses and continue to use out of area provisions as required and where appropriate”
  3. 3. delayed psychological assessment

    “long waiting times for psychological assessment”

Linked reports

Repeats an earlier warningDavid Knight14 Nov 2016 · 7 years 11 months earlier
Closely relatedConfidence 0.80 · moderate

Earlier report

“national shortage of acute mental health beds necessitating the use of out of county placements for patients requiring hospitalization”
Original on judiciary.uk ↗

This report

“there are increasing pressures both locally and nationally with regards to the provision of acute mental health beds”
Full chain: Insufficient inpatient bed capacity leading to delayed discharges and patient harm
Repeats an earlier warningJohn Haines16 Nov 2017 · 6 years 11 months earlier
Closely relatedConfidence 0.90 · high

Earlier report

“Timely access to Healthy Minds is also hindered by long waiting times.”
Original on judiciary.uk ↗

This report

“Another particular problem identified was the long waiting times for psychological assessment.”
Full chain: Long waiting times for psychological assessment
Repeats an earlier warningLaura Medcalf28 Apr 2022 · 2 years 6 months earlier
Closely relatedConfidence 0.85 · high

Earlier report

“The inquest heard that [the deceased] was kept in an acute hospital setting at Salford Royal Hospital awaiting a mental health bed due to a shortage of mental 2 health beds”
Original on judiciary.uk ↗

This report

“there are increasing pressures both locally and nationally with regards to the provision of acute mental health beds”
Full chain: Insufficient inpatient bed capacity leading to delayed discharges and patient harm

Responses

2026-0278-Response-from-Department-of-Health-and-Social-Care-.pdf ↗· Department of Health and Social Care

Stated action

“I have asked NHS England to provide me with a report from the ICB detailing the local position so that I can understand what actions are being taken locally to prevent such a case from happening again.”
  • Built with
  • NVIDIA Nemotron Nano, Super and Ultra
  • Nebius Token Factory inference
  • Qwen3 Embedding 8B on Token Factory
  • Tavily follow-up web search
  • Postgres and pgvector search
  • Next.js site

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