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recurance

Laura Medcalf

28 Apr 2022 · Coroner Alison Mutch · Manchester South

This report repeats 1 earlier warning, and was raised again 4 times later. See the linked reports.

The coroner's concerns

  1. 1. shortage of mental health beds

    “The inquest heard that [the deceased] was kept in an acute hospital setting at Salford Royal Hospital awaiting a mental health bed due to a shortage of mental 2 health beds”
  2. 2. COVID-19 lockdown impact on mental health

    “Covid 19 and the measures to deal with it had had a significant impact in a number of respects.”

Linked reports

Repeats an earlier warningMartin Gibbons21 May 2021 · 11 months earlier
Identical hazardConfidence 0.90 · high

Earlier report

“It was during the prolonged wait in the Emergency Department for a mental health bed that Mr [name redacted] left”
Original on judiciary.uk ↗

This report

“The inquest heard that [the deceased] was kept in an acute hospital setting at Salford Royal Hospital awaiting a mental health bed due to a shortage of mental 2 health beds”
Full chain: Insufficient inpatient bed capacity leading to delayed discharges and patient harm
Raised again laterNicola Rayner7 Mar 2024 · 1 year 10 months later
Closely relatedConfidence 0.85 · high

This report

“The inquest heard that [the deceased] was kept in an acute hospital setting at Salford Royal Hospital awaiting a mental health bed due to a shortage of mental”

Later 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 ↗
Full chain: Insufficient inpatient bed capacity leading to delayed discharges and patient harm
Raised again laterJuan Martin11 Jun 2024 · 2 years 1 month later
Closely relatedConfidence 0.85 · high

This report

“[the deceased] was kept in an acute hospital setting at Salford Royal Hospital awaiting a mental health bed due to a shortage of mental 2 health beds”

Later report

“Witnesses confirmed that no suitable bed was identified until approximately after 15:00 on 12 April 2022,”
Original on judiciary.uk ↗
Full chain: Insufficient inpatient bed capacity leading to delayed discharges and patient harm
Raised again laterRobin Ward18 Oct 2024 · 2 years 6 months later
Closely relatedConfidence 0.85 · high

This report

“The inquest heard that [the deceased] was kept in an acute hospital setting at Salford Royal Hospital awaiting a mental health bed due to a shortage of mental 2 health beds”

Later report

“there are increasing pressures both locally and nationally with regards to the provision of acute mental health beds”
Original on judiciary.uk ↗
Full chain: Insufficient inpatient bed capacity leading to delayed discharges and patient harm
Raised again laterMatthew Sheldrick (2)16 Dec 2024 · 2 years 8 months later
Closely relatedConfidence 0.87 · high

This report

“The inquest heard that [the deceased] was kept in an acute hospital setting at Salford Royal Hospital awaiting a mental health bed due to a shortage of mental 2 health beds”

Later report

“There being a national shortage of mental health beds in particular for Autistic patients and those who are transgender requiring a mixed ward.”
Original on judiciary.uk ↗
Full chain: Insufficient inpatient bed capacity leading to delayed discharges and patient harm

Responses

2022-0128-Response-from-Department-of-Health-and-Social-Care.pdf ↗· Department of Health and Social Care

Stated action · 2021

“the Department is investing £150 million for significant improvements in the mental health estate over the course of the Spending Review (2021). This will be used to support our NHS Long Term Plan ambitions regarding system capacity and pressure reduction. It will cover a range of schemes, including non-medical alternatives to admission, step-down community beds and supported living services.”
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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