Limited placement options for autistic young adults at risk of self-harm or harming others
NHS England received 2 coroners' reports about this hazard between 26 Sept 2023 and 23 Oct 2024.
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.
“young adults with autism who were at risk of self-harm as well as harm to others have very limited options in terms of placements where their needs can be met.”
Original on judiciary.uk ↗ NHS England responded.Response (PDF) ↗
- 1 year 1 month later
Raised again · 1st time
Declan Morrison↗
23 Oct 2024 · Simon Milburn · Cambridgeshire and Peterborough
Closely relatedConfidence 0.85 · higha different coroner“The evidence revealed that there is currently a widespread shortage of available placements for someone with [the deceased]'s complex needs both in the community and within the NHS.”
Original on judiciary.uk ↗ Repeated from the earlier report:placementsneeds
NHS England responded.Response (PDF) ↗Response (PDF) ↗Response (PDF) ↗
- All reports to NHS England
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.
2023 → 2024Declan Morrison1 year 1 month after Benjamin Hazelden · different coronerClosely relatedConfidence 0.85 · high
Closely relatedConfidence 0.85 · highBoth reports highlight a lack of suitable placements for individuals with complex needs involving autism and risk of self‑harm or harm to others. The earlier report focuses on limited options for young autistic adults, while the later report describes a widespread shortage of placements for similar complex needs.
Benjamin Hazelden · 26 Sept 2023
“young adults with autism who were at risk of self-harm as well as harm to others have very limited options in terms of placements where their needs can be met.”
Original on judiciary.uk ↗ Declan Morrison · 23 Oct 2024
“The evidence revealed that there is currently a widespread shortage of available placements for someone with [the deceased]'s complex needs both in the community and within the NHS.”
Original on judiciary.uk ↗
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
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 NHS England 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 |
|---|---|---|---|---|
| 2023 → 2024 | 0.69 | 0.29 | Closely related · 0.85 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
Next
Other chains for NHS England
- Delayed referral for neurosurgical care2 reports · 2017–2026
- Inadequate medical documentation oversight2 reports · 2024–2026
- Patients treated in ED corridor due to lack of clinical space3 reports · 2024–2026
- Lack of basic first aid training and CPR training and defibrillator use by Prison Officers and Staff3 reports · 2015–2026
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.