Timothy De Boos
13 Dec 2024 · Coroner Nigel Parsley · Suffolk
This report repeats 3 earlier warnings. See the linked reports.
The coroner's concerns
1. lack of inpatient mental health unit beds
“the continuing lack of Mental Health Unit inpatient beds in Suffolk, and more widely throughout England and Wales”
2. dismissal of professional and patient/family input in admission decisions
“the views of an experienced mental health professional, a patient's family, and the patient themselves, is deemed insufficient evidence for an admission to a Mental Health Unit as a voluntary inpatient”
3. inadequate mental health inpatient capacity
“lack of inpatient Mental Health Unit beds have contributed to a death”
Linked reports
Identical hazardConfidence 0.90 · high
Earlier report
“had he needed admitting it is apparent no beds would have been available at Green Lane Hospital Devizes when an enquiry was made on 6 July 2014”
This report
“At the time of Tim's mental health crisis on the 2 February 2024, had the decision to admit him been possible, he still would not have been admitted as there were five other individuals in the queue before him also waiting for admission.”
Closely relatedConfidence 0.86 · high
Earlier report
“Lack of inpatient mental health beds and lack of Psychiatric decisions unit (PDU) spaces: The inquest heard how there was a regional and national lack of inpatient beds and spaces in PDU.”
This report
“I am concerned of the continuing lack of Mental Health Unit inpatient beds in Suffolk, and more widely throughout England and Wales.”
Closely relatedConfidence 0.90 · high
Earlier report
“The Matron in Acute and Urgent Care confirmed bed capacity remains an ongoing problem and has not been resolved. The Matron provided one recent example where a patient waited for 7 days”
This report
“I am concerned of the continuing lack of Mental Health Unit inpatient beds in Suffolk, and more widely throughout England and Wales.”