Lack of specialised personality disorder services
Department of Health and Social Care received 2 coroners' reports about this hazard between 30 Apr 2021 and 24 Oct 2025.
They came from 2 different coroners in 2 coroner areas. A similar concern was raised again 1 time after the first warning.
A published response was found for 1 of the 1 earlier reports, stating 2 specific actions.
The story, report by report
Spacing grows with the time between reports.
“The court heard evidence that there is no national therapeutic pathway for | treatment of Personality Disorders”
Original on judiciary.uk ↗ Department of Health and Social Care responded, stating 1 specific action.Response (PDF) ↗
“Local areas will be supported to redesign and reorganise core community mental health teams to move towards a new place-based, multidisciplinary service across health and social care aligned with primary care networks.”
Stated timescale: 2023/24
- 4 years 6 months later
Raised again · 1st time
Sophie Towle↗
24 Oct 2025 · Alexandra Poutney · Nottingham and Nottinghamshire
Closely relatedConfidence 0.80 · moderatea different coroner“I am told that as of mid-October 2025, the Personality Disorder Hub at NHCT has been disbanded.”
Original on judiciary.uk ↗ Department of Health and Social Care responded, stating 1 specific action.Response (PDF) ↗
“ICBs are currently delivering their 3-year strategic plan for commissioning mental health inpatient services. The plans will realise the aims set out in the NHS Mental Health Inpatient Commissioning Framework (NHS England 2024). This Framework is a national guide for how Integrated Care Boards (ICBs) plan inpatient mental health services. It sets out what”
Stated timescale: 2027
- All reports to Department of Health and Social Care
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.
2021 → 2025Sophie Towle4 years 6 months after Joanna Leven · different coronerClosely relatedConfidence 0.80 · moderate
Closely relatedConfidence 0.80 · moderateBoth reports highlight insufficient specialised services for people with personality disorders, noting gaps in national provision and local hub availability.
Joanna Leven · 30 Apr 2021
“The court heard evidence that there is no national therapeutic pathway for | treatment of Personality Disorders”
Original on judiciary.uk ↗ Sophie Towle · 24 Oct 2025
“I am told that as of mid-October 2025, the Personality Disorder Hub at NHCT has been disbanded.”
Original on judiciary.uk ↗
Stated action · timescale: 2023/24
“Local areas will be supported to redesign and reorganise core community mental health teams to move towards a new place-based, multidisciplinary service across health and social care aligned with primary care networks.”
Stated action · timescale: 2027
“ICBs are currently delivering their 3-year strategic plan for commissioning mental health inpatient services. The plans will realise the aims set out in the NHS Mental Health Inpatient Commissioning Framework (NHS England 2024). This Framework is a national guide for how Integrated Care Boards (ICBs) plan inpatient mental health services. It sets out what”
- Each report's concerns were extracted by Nemotron 3 Nano on Nebius Token Factory, each with a quote copied from the report.
- Concerns from reports to Department of Health and Social Care at least six months apart were compared by meaning (Qwen3 embeddings) and wording (TF-IDF).
- The closest pairs were judged by Nemotron 3 Super with reasoning on. Only identical or closely related, with confidence of at least 0.70, are shown.
- Every quote was checked by code as an exact substring of the original text. Names of staff and family are redacted, and the deceased are named by report title only.
| Link | Meaning | Wording | Judge | Coroner |
|---|---|---|---|---|
| 2021 → 2025 | 0.73 | 0.25 | Closely related · 0.80 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
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This shows that a similar concern was raised again after an earlier report. It does not say why, and it is not a finding about any organisation or person. To report an error, see the corrections route.