Joanna Chamberlain
11 Oct 2025 · Coroner Joseph Turner · West Sussex, Brighton and Hove
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. lack of safe supportive spaces for mental health patients
“there appears to be a local and national gap in the provision of safe and supportive spaces, where clinical help and care can be given to mental health patients who may not be in immediate crisis yet who would benefit from more support than can be given by home treatment teams”
2. absence of clear national guidance for clinicians to involve family and GP in care plans
“there is a potential need for clearer national guidance on, direction to and protocols for clinicians to proactively seek and include the views and input of family members, or others (e.g. GP), reinforcing the triangle of care”
Linked reports
Identical hazardConfidence 0.92 · high
Earlier report
“That there is no national guidance regarding engagement with the family of a Mental Health patient”
This report
“there is a potential need for clearer national guidance on, direction to and protocols for clinicians to proactively seek and include the views and input of family members”