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Recurance · prevention of future deaths reports

Pre-inquest brief

Detention without section due to bed shortage

Organisation: NHS England · Generated: 26 Oct 2026

Recurance · recurance.com/chains/86ac10b866c04bc3

The earlier 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.”

judiciary.uk/…/ben-shipley-prevention-of-future-deaths-report

What was promised

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

What recurred

  • 26 Sept 2024 · Charne Petit · Caroline Topping · Identical hazard · confidence 0.90 (high)

The clearest link, quoted from both reports:

Earlier · Ben Shipley · 27 Apr 2023

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

Later · Charne Petit · 26 Sept 2024

“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”

What happened next

No web check of the stated actions has been published for this chain.

Every quote is verified word for word against the original report on judiciary.uk. A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person.

Source: Courts and Tribunals Judiciary, Open Government Licence v3.0.