Lack of acute mental health inpatient beds

Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals. ?Every quote shown was checked by code to appear word for word in the original report.

• 2016 → 2019Stephen Kennedy2 years 6 months after Patricia Cleghorn · same coronerIdentical hazardConfidence 0.92 · high

  Identical hazardConfidence 0.92 · high

  Both reports highlight the lack of available acute mental health inpatient beds leading to vulnerable individuals remaining in the community without adequate care.

  Patricia Cleghorn · 25 Jul 2016

  “The deceased could not be admitted to hospital as there were no inpatient beds available.”

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  Stephen Kennedy · 7 Feb 2019

  “In August 2018 the deceased required inpatient treatment. There were no beds available and as a result he had further episodes of self-harm and suicide attempts.”

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  Earlier report in the app · Later report in the app

• 2019 → 2019Anthony McCormack8 months after Stephen Kennedy · different coronerIdentical hazardConfidence 0.90 · high

  Identical hazardConfidence 0.90 · high

  Both reports highlight the unavailability of acute psychiatric beds as a critical safety issue. This shortage led to delayed inpatient care and increased risk of self‑harm.

  Stephen Kennedy · 7 Feb 2019

  “There were no beds available and as a result he had further episodes of self-harm and suicide attempts.”

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  Anthony McCormack · 27 Sept 2019

  “Between the 16th March 2019 and the 25th April 2019, a bed could not be found for the Deceased even though he had been assessed and fit for detention.”

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  Earlier report in the app · Later report in the app

• 2016 → 2019Anthony McCormack3 years 2 months after Patricia Cleghorn · different coronerIdentical hazardConfidence 0.85 · high

  Identical hazardConfidence 0.85 · high

  Both reports highlight a lack of available acute mental health inpatient beds leading to inadequate care and increased risk of death.

  Patricia Cleghorn · 25 Jul 2016

  “availability of acute mental health beds means the most vulnerable people are being cared for in the community with limited resources and care.”

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  Anthony McCormack · 27 Sept 2019

  “a bed could not be found for the Deceased even though he had been assessed and fit for detention. The absence of a bed meant that Mr [name redacted] was not adequately assessed and appropriate treatment could not be given.”

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  Stated action in the response to the earlier report

  “Creation of an urgent care assessment team to concentrate specifically on the assessment of patients who are in crisis. This approach has been piloted and has demonstrated that having an urgent care assessment team improves outcomes for patients at this vulnerable time. The substantive team will be in place by the end of September 2016”

  Earlier report in the app · Later report in the app

• 2019 → 2023Leroy Hamilton3 years 3 months after Anthony McCormack · different coronerClosely relatedConfidence 0.85 · high

  Closely relatedConfidence 0.85 · high

  Both reports highlight a shortage of inpatient mental health beds as a core safety issue. The later report adds concern about insufficient Psychiatric Decision Unit spaces and resulting risks in emergency departments.

  Anthony McCormack · 27 Sept 2019

  “Between the 16th March 2019 and the 25th April 2019, a bed could not be found for the Deceased even though he had been assessed and fit for detention.”

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  Leroy Hamilton · 11 Jan 2023

  “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.”

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  Stated action in the response to the earlier report

  “The CCG has been working closely with both local mental health service providers and the third sector, with the aim of improving the service offer for people experiencing a mental health crisis. Stakeholders are working on designing community based services, which will increase accessibility for those in crisis and their families, to deliver the most appropriate support at the earliest opportunity.”

  Earlier report in the app · Later report in the app

• 2019 → 2023Leroy Hamilton3 years 11 months after Stephen Kennedy · same coronerClosely relatedConfidence 0.85 · high

  Closely relatedConfidence 0.85 · high

  Both reports highlight a shortage of acute inpatient mental health beds as a safety issue. The earlier report links the shortage to self‑harm, while the later report links it to patients being left unattended in emergency departments.

  Stephen Kennedy · 7 Feb 2019

  “In August 2018 the deceased required inpatient treatment. There were no beds available and as a result he had further episodes of self-harm and suicide attempts.”

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  Leroy Hamilton · 11 Jan 2023

  “it is often the case that due to the lack of inpatient beds and PDU spaces patients are often left in the Emergency department unattended or sent home with periodic reviews by the home treatment team whilst waiting for a bed”

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  Earlier report in the app · Later report in the app

• 2019 → 2023Philip Malone4 years 2 months after Anthony McCormack · different coronerClosely relatedConfidence 0.90 · high

  Closely relatedConfidence 0.90 · high

  Both reports highlight a continuing shortage of psychiatric beds in Birmingham and Solihull that prevents timely admission and appropriate care. The later report notes the insufficiency persists despite some actions taken.

  Anthony McCormack · 27 Sept 2019

  “Between the 16th March 2019 and the 25th April 2019, a bed could not be found for the Deceased even though he had been assessed and fit for detention.”

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  Philip Malone · 23 Nov 2023

  “My principal concern is that the above dates indicate available psychiatric bed capacity in Birmingham and Solihull remains inadequate.”

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  Stated action in the response to the earlier report

  “The CCG has been working closely with both local mental health service providers and the third sector, with the aim of improving the service offer for people experiencing a mental health crisis. Stakeholders are working on designing community based services, which will increase accessibility for those in crisis and their families, to deliver the most appropriate support at the earliest opportunity.”

  Earlier report in the app · Later report in the app

• 2019 → 2023Philip Malone4 years 9 months after Stephen Kennedy · different coronerIdentical hazardConfidence 0.90 · high

  Identical hazardConfidence 0.90 · high

  Both reports highlight the unavailability of psychiatric/acute beds leading to increased risk of self‑harm and suicide attempts. They describe the same systemic shortage of inpatient capacity as the core safety concern.

  Stephen Kennedy · 7 Feb 2019

  “In August 2018 the deceased required inpatient treatment. There were no beds available and as a result he had further episodes of self-harm and suicide attempts.”

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  Philip Malone · 23 Nov 2023

  “no bed was available in August 2022”

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  Earlier report in the app · Later report in the app

• 2023 → 2023Philip Malone10 months after Leroy Hamilton · different coronerIdentical hazardConfidence 0.90 · high

  Identical hazardConfidence 0.90 · high

  Both reports highlight the ongoing shortage of psychiatric/inpatient mental health beds as a safety concern. They describe the same underlying problem of insufficient bed capacity leading to unsafe patient management.

  Leroy Hamilton · 11 Jan 2023

  “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.”

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  Philip Malone · 23 Nov 2023

  “Despite recognising Mr [name redacted] needed to be admitted to a psychiatric hospital in June 2023 but there was no bed capacity”

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  Stated action in the response to the earlier report

  “Consideration is needed urgently to fund further mental health beds and PDU spaces to ensure patients are not kept unattended in extremely busy emergency departments.”

  Earlier report in the app · Later report in the app