Siân Hewitt
21 Oct 2020 · Coroner Tom Osborne · Milton Keynes
A similar concern from this report was raised again 2 times later. See the linked reports.
The coroner's concerns
1. lack of safe placement for autistic patients with co-occurring mental health issues
“the NHS are unable to provide a place of safety for those who are suffering from Asperger's syndrome, or indeed other forms of autism, when they are also suffering additional mental health problems such as bipolar”
Linked reports
Closely relatedConfidence 0.80 · moderate
This report
“the NHS are unable to provide a place of safety for those who are suffering from Asperger's syndrome, or indeed other forms of autism, when they are also suffering additional mental health problems such as bipolar”
Later report
“The evidence was that the environment in A&E as a holding place is not conducive for those suffering with Autism and/or who are neurodiverse.”
Closely relatedConfidence 0.85 · high
This report
“It would appear from the circumstances of Ms [name redacted] death that the NHS are unable to provide a place of safety for those who are suffering from Asperger's syndrome, or indeed other forms of autism, when they are also suffering additional mental health problems such as bipolar.”
Later report
“The evidence reveals that there was a gap in the provision of care for individuals suffering with autism and in crisis, that remains the case today both in Devon and nationally.”
Responses
No published response was found on judiciary.uk.