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recurance

Detention without section due to bed shortage

Identical hazardConfidence 0.90 · high2 reports · 2023–2024No published response to an earlier report One-page brief (print or PDF)

NHS England received 2 coroners' reports about this hazard between 27 Apr 2023 and 26 Sept 2024.

They came from 2 different coroners in 2 coroner areas. A similar concern was raised again 1 time after the first warning.

No published response from NHS England was found for the earlier reports.

2
reports
2
different coroners
2023–2024
years
0.90
lowest link confidence

The story, report by report

Spacing grows with the time between reports.

  1. First warning

    Ben Shipley↗

    27 Apr 2023 · Ian Pears · West Yorkshire Western

    “[the deceased] cannot be legally detained as the section 2 is not complete until there is a bed.”
    Original on judiciary.uk ↗

    No published response from NHS England was found for this report.

  2. 1 year 5 months later

    Raised again · 1st time

    Charne Petit↗

    26 Sept 2024 · Caroline Topping · Surrey

    Identical hazardConfidence 0.90 · higha different coroner
    “patients who have been assessed by 2 s12 consultant psychiatrists to require detention after a mental health act assessment are being effectively detained in general hospitals without a section, awaiting a bed”
    Original on judiciary.uk ↗

    Repeated from the earlier report:detainedsection

  3. All reports to NHS England

Next

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.

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error