Lack of mental health service connection by probation officers
His Majesty's Prison and Probation Service received 2 coroners' reports about this hazard between 20 Nov 2019 and 18 May 2021.
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 0 specific actions.
The story, report by report
Spacing grows with the time between reports.
“However no attempt was made to contact any medical practitioner ie GP or mental health services.”
Original on judiciary.uk ↗ His Majesty's Prison and Probation Service responded.Response (PDF) ↗
- 1 year 6 months laterClosely relatedConfidence 0.80 · moderatea different coroner
“The lack of knowledge of the Probation officer as to the services she could contact to obtain necessary mental health assessments.”
Original on judiciary.uk ↗ Repeated from the earlier report:servicescontactmentalhealth
His Majesty's Prison and Probation Service responded.Response (PDF) ↗
- All reports to His Majesty's Prison and Probation Service
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 → 2021Todd Salter1 year 6 months after Gary Leyland · different coronerClosely relatedConfidence 0.80 · moderate
Closely relatedConfidence 0.80 · moderateBoth reports highlight a failure by probation officers to connect individuals with appropriate mental health services due to insufficient guidance or knowledge.
Gary Leyland · 20 Nov 2019
“However no attempt was made to contact any medical practitioner ie GP or mental health services.”
Original on judiciary.uk ↗ Todd Salter · 18 May 2021
“The lack of knowledge of the Probation officer as to the services she could contact to obtain necessary mental health assessments.”
Original on judiciary.uk ↗
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
- 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 His Majesty's Prison and Probation Service 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 → 2021 | 0.67 | 0.27 | Closely related · 0.80 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
Next
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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.