Misunderstanding of section 135 mental health act powers leading to delays
Department of Health and Social Care received 2 coroners' reports about this hazard between 31 Jul 2019 and 29 Jan 2020.
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 1 specific action.
The story, report by report
Spacing grows with the time between reports.
“there is a misunderstanding between the agencies as to how section 135 Mental Health Act 1983 can work in an urgent situation.”
Original on judiciary.uk ↗ Department of Health and Social Care responded.Response (PDF) ↗
- 6 months laterClosely relatedConfidence 0.80 · moderatea different coroner
“In evidence the community recovery team indicated that a factor in their inaction was the knowledge that arranging a section 135 mental health act 1983 warrant and assessment would take two weeks.”
Original on judiciary.uk ↗ Repeated from the earlier report:sectionmentalhealth1983
Department of Health and Social Care responded, stating 1 specific action.Response (PDF) ↗Response (PDF) ↗
“Any service user of the Crisis Team who is being considered for discharge because of non-engagement must be discussed in the Crisis Service Multi- Disciplinary Meeting with senior overview of the decision to discharge.”
Stated timescale: end of February
- 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.
2019 → 2020Thiago Araujo6 months after Nigel Abbott · different coronerClosely relatedConfidence 0.80 · moderate
Closely relatedConfidence 0.80 · moderateBoth reports highlight confusion or mistaken beliefs about the time required to obtain a section 135 Mental Health Act warrant, leading to delays in urgent mental health interventions.
Nigel Abbott · 31 Jul 2019
“there is a misunderstanding between the agencies as to how section 135 Mental Health Act 1983 can work in an urgent situation.”
Original on judiciary.uk ↗ Thiago Araujo · 29 Jan 2020
“In evidence the community recovery team indicated that a factor in their inaction was the knowledge that arranging a section 135 mental health act 1983 warrant and assessment would take two weeks.”
Original on judiciary.uk ↗
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
Stated action · timescale: end of February
“Any service user of the Crisis Team who is being considered for discharge because of non-engagement must be discussed in the Crisis Service Multi- Disciplinary Meeting with senior overview of the decision to discharge.”
- 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 |
|---|---|---|---|---|
| 2019 → 2020 | 0.79 | 0.34 | 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.