Luke Wilden
16 Jan 2022 · Coroner Emma Whitting · Bedfordshire and Luton
The coroner's concerns
1. lack of transition arrangements for high functioning autistic adults
“Transition arrangements within ELFT for individuals with high functioning autism were inadequate when [the deceased] turned 18 and, as a result, he was not transferred to the appropriate adult mental health team for continued treatment and to enable provision of an appropriate adult social care package, including suitable accommodation for him. Whilst I understand that changes have been made within ELFT in order to address this gap in services, I am concerned that these may still not be sufficient.”
2. failure to detain during final in-patient admission
“failure to detain him during his final in-patient admission amounted to his death being contributed to by neglect on the part of mental health services”