Inappropriate prison environment for mental health treatment
Department of Health and Social Care received 2 coroners' reports about this hazard between 2 Mar 2018 and 24 Nov 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 0 specific actions.
The story, report by report
Spacing grows with the time between reports.
“Prison was not the appropriate environment for someone with [the deceased]'s mental health problems.”
Original on judiciary.uk ↗ Department of Health and Social Care responded.Response (PDF) ↗
- 7 years 9 months laterClosely relatedConfidence 0.85 · higha different coroner
“detention in prison prior to transfer to a secure mental health unit continues to be unavoidable.”
Original on judiciary.uk ↗ Repeated from the earlier report:prisonmentalhealth
Department of Health and Social Care responded.Response (PDF) ↗Response (PDF) ↗
- 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.
2018 → 2025Diana Grant7 years 9 months after Emily Hartley · different coronerClosely relatedConfidence 0.85 · high
Closely relatedConfidence 0.85 · highBoth reports highlight that the lack of sufficient secure mental health provision leads to people with serious mental health needs being held in prison, which is unsuitable for their care.
Emily Hartley · 2 Mar 2018
“Prison was not the appropriate environment for someone with [the deceased]'s mental health problems.”
Original on judiciary.uk ↗ Diana Grant · 24 Nov 2025
“detention in prison prior to transfer to a secure mental health unit continues to be unavoidable.”
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.
- 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 |
|---|---|---|---|---|
| 2018 → 2025 | 0.70 | 0.17 | Closely related · 0.85 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
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Other chains for Department of Health and Social Care
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.