Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of defined transition pathway between CAMHS and adult services
The earlier warning
Chloe Barber · 12 Aug 2025 · Paul Marks, City of Kingston Upon Hull and the County of the East Riding of Yorkshire
“there is not necessarily any clearly defined pathway that assists young persons making the transition between Childhood and Adolescent Mental Health Service (CAMHS) and adult psychiatric services, to ensure a smooth transit and continuity of care.”
judiciary.uk/…/chloe-barber-prevention-of-future-deaths-report
What was promised
Stated action 1 · response to Chloe Barber (12 Aug 2025) · stated timescale: 2024/25
“The NHS is committed to ensuring that every area across the country commissions a comprehensive mental health offer for children and young people, with a clear focus on supporting young adults as they move from child to adult mental health services. A key priority is ensuring continuity of care and a smooth transition between services.”
What recurred
- 29 Apr 2026 · Alice Dearden: Prevention of future deaths report (3) · Nicholas Rheinberg · Closely related · confidence 0.85 (high)
The clearest link, quoted from both reports:
Earlier · Chloe Barber · 12 Aug 2025
“there is not necessarily any clearly defined pathway that assists young persons making the transition between Childhood and Adolescent Mental Health Service (CAMHS) and adult psychiatric services, to ensure a smooth transit and continuity of care.”
Later · Alice Dearden: Prevention of future deaths report (3) · 29 Apr 2026
“commissioning mental health provision for children and adolescents with a strict cut off date of the individual's 18th birthday could be prejudicial to mental health in certain circumstances.”
What happened next
No web check of the stated actions has been published for this chain.