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recurance

Jagjeet Singh

4 Nov 2024 · Coroner Melanie Lee · Inner North London

This report repeats 2 earlier warnings, and was raised again 1 time later. See the linked reports.

The coroner's concerns

No concerns could be extracted with a verified quote. Read the original report.

Linked reports

Repeats an earlier warningMichael Cooper4 Oct 2018 · 6 years 1 month earlier
Identical hazardConfidence 0.90 · high

Earlier report

“The lack of inpatient beds is a known resource issue within the Birmingham and Solihull Mental Health NHS Foundation Trust, which the Trust is currently working to address through numerous new initiatives.”
Original on judiciary.uk ↗

This report

“I heard that a bed on the mental health ward should have been available for Mr [name redacted] when he was discharged from the medical wards but that there is a chronic shortage of mental health beds and not just in London but nationally.”
Full chain: Delayed transfer of acute mental health prisoners to secure units
Repeats an earlier warningNicola Rayner7 Mar 2024 · 8 months earlier
Identical hazardConfidence 0.90 · high

Earlier report

“Had an informal Mental Health bed been available on the 6th June 2023, and [the deceased] had been admitted as both she and her psychiatrist had wished, her death would not have occurred.”
Original on judiciary.uk ↗

This report

“a chronic shortage of mental health beds and not just in London but nationally. It was described to me as a crisis.”
Full chain: Insufficient inpatient bed capacity leading to delayed discharges and patient harm
Raised again laterTania Jarman12 Mar 2026 · 1 year 4 months later
Identical hazardConfidence 0.95 · high

This report

“I heard that a bed on the mental health ward should have been available for Mr [name redacted] when he was discharged from the medical wards but that there is a chronic shortage of mental health beds and not just in London but nationally.”

Later report

“There is a long standing and well publicised concern that there are fewer mental health beds than patients who are assessed as needing these.”
Original on judiciary.uk ↗
Full chain: Insufficient inpatient bed capacity leading to delayed discharges and patient harm

Responses

2024-0606-Response-from-DHSC.pdf ↗· Department of Health and Social Care

2024-0606-Response-from-NHS-England.pdf ↗· NHS England

Stated action · 2024/25

“The number of mental health beds required to support a local population is dependent on both local mental health need and the effectiveness of the whole local mental health system in providing timely access to care and supporting people to stay well in the community, therefore reducing the likelihood of an admission being necessary.”
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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