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recurance

Oxford Health NHS Foundation Trust

13
reports received
7
with a published response found
4
recurrence chains
8
reports in those chains
  • Coroner Crispin Butler · Buckinghamshire

    No published response from this organisation found.

  • Coroner David Ridley · Wiltshire and Swindon

    No published response from this organisation found.

  • Coroner Nicholas Graham · Oxfordshire · in 1 recurrence link

    No published response from this organisation found.

  • Coroner Robert Simpson · Berkshire · in 1 recurrence link

    Response · 1 stated action
    2025-0018-Response-from-Oxford-Health.pdf ↗
    “and Thame service are attending supervision training to refresh skills and she has asked that this is extended to all of the teams in South Oxfordshire”
  • Coroner Heidi Connor · Berkshire · in 1 recurrence link

    Response · 3 stated actions
    2024-0645-Response-from-Oxford-Health-NHS-Foundation-Trust-.pdf ↗
    “The Trust's initial plan was to review this by June 2024, and the aim now is for January 2025, almost two years from [name redacted]'s death.”
    “secondary care services have access to a system called Thames Valley & Surrey (TVS) Shared Care Records/Graphnet, to which system BTT has uploaded patient information dating back to 1st May 2022. This upload concluded in November 2024.”
    “guidance on the use of Thames Valley & Surrey Shared Care Records and this guidance was most recently updated on 12th December 2024.”
  • Coroner Sir Adrian Fulford · Central Criminal Court

    Response · 1 stated action
    2024-0276-Response-from-Oxford-Health.pdf ↗
    “OHFT currently provide psychological services for HMP Bullingdon and HMP Huntercombe as part of the integrated mental health team. The evidence based psychological interventions are delivered based on clinical need and sentence length, in line with the NHS Stepped Care Model and National Institute of Clinical Excellence guidance. These include psychotherapy, cognitive behavioural therapy [CBT], trauma focussed-CBT, and eye movement desensitisation and re-processing.”
  • Coroner Gemma Brannigan · Buckinghamshire

    No published response from this organisation found.

  • Roy Morris29 Mar 2021

    Coroner Crispin Butler · Buckinghamshire · in 1 recurrence link

    Response · 1 stated action
    2021-0094-Response-from-Littlemore-Mental-Health-Centre-Redacted.pdf ↗
    “To focus on the role of the Care Coordinator: the expectations of the role and the interventions and engagement required in discharge planning in line with our CPA policy.”
  • Lisa Thompson10 Feb 2021

    Coroner Sonia Hayes · Oxfordshire

    Response · 1 stated action
    2021-0171-Response-from-Littlemore-Mental-Health-Centre-Redacted.pdf ↗
    “the Trust has been on notice of your concerns and had the opportunity to include your concerns as part of the investigation into Mr [name redacted] complaint.”
  • Emma Butler12 Apr 2019

    Coroner Crispin Butler · Buckinghamshire · in 1 recurrence link

    Response · 1 stated action
    2019-0133-Response-by-Oxford-Health-NHS-Trust.pdf ↗
    “The Trust is considering if plastic spoons can be replaced by an alternative product that is more resistant to breakage. The Head of Nursing for Buckinghamshire is working with the matrons to identify if there is alternative cutlery available that may be more suitable for this patient group.”
  • Lewis Colgan9 May 2018

    Coroner Crispin Butler · Buckinghamshire · in 2 recurrence links

    No published response from this organisation found.

  • Liam Thomas4 Sept 2017

    Coroner Darren Salter · Oxfordshire

    No published response from this organisation found.

  • Jack Portland21 Feb 2017

    Coroner Crispin Butler · Buckinghamshire · in 1 recurrence link

    Response · 1 stated action
    Portland-2017-0049.pdf ↗
    “The Governor, HMP Woodhill”
    Response · 1 stated action
    2017-0049-Response-by-Oxford-Health-NHS-Trust.pdf ↗
    “The section 17 leave form has been amended and is currently going through the Trust's governance processes for approval. It is anticipated that use of the new form will be implemented no later than 28th April 2017.”
    Response · 1 stated action
    2017-0049-Response-by-NOMS.pdf ↗
    “The Governor is confident that the increased focus on the training of staff on the requirements of the ACCT process, and the robust quality checks now in place, have led to a significant improvement in the quality, focus, and effectiveness of ACCT documents in supporting prisoners at risk of suicide and self-harm.”
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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