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recurance

Tania Jarman

12 Mar 2026 · Coroner Elizabeth Wheeler · Cheshire

This report repeats 2 earlier warnings. See the linked reports.

The coroner's concerns

  1. 1. fewer mental health beds than patients needing them

    “There is a long standing and well publicised concern that there are fewer mental health beds than patients who are assessed as needing these. I draw your attention to the fact that this situation is ongoing and continues to pose a risk to life.”

Linked reports

Repeats an earlier warningNicola Rayner7 Mar 2024 · 2 years 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

“There is a long standing and well publicised concern that there are fewer mental health beds than patients who are assessed as needing these. I draw your attention to the fact that this situation is ongoing and continues to pose a risk to life.”
Full chain: Insufficient inpatient bed capacity leading to delayed discharges and patient harm
Repeats an earlier warningJagjeet Singh4 Nov 2024 · 1 year 4 months earlier
Identical hazardConfidence 0.95 · high

Earlier 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.”
Original on judiciary.uk ↗

This 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.”
Full chain: Insufficient inpatient bed capacity leading to delayed discharges and patient harm

Responses

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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