Recurring concern
Insufficient and unsafe crisis-house provision for patients needing crisis care
- Reports that mention this concern
- 3
- Times this concern has been raised
- 4
- Stated actions linked to this concern
- 4
What this concern includes
Includes failures in the dedicated crisis-house care arrangement, including insufficient beds or availability and inadequate clinical capacity, skills mix or capability for patients placed or awaiting placement in a crisis house.
What is not included
- Excludes shortages or inadequacy of acute mental-health hospital beds unless the assertion specifically concerns the crisis-house provision.
- Excludes failures of crisis-team assessment, referral or response where crisis-house care is not the deficient arrangement.
- Excludes inappropriate placement of a particular patient in an adult crisis house where the shared unsafe condition is age-inappropriate placement rather than the adequacy or availability of crisis-house provision.
- Excludes generic mental-health service capacity, staffing or funding concerns without a direct crisis-house provision connection.
Trends
Reports over time
Reports mentioning this concern, over time
Reports about this concern issued each year.
* 2026 is projected from reports observed to 7 Sep 2026.
Most frequent recipients
Most frequent recipients
Reports about this concern sent to each recipient.
Reports and published responses 3 reports
See individual reports that have raised this concern, and the actions taken in response
-
Concerns raised1
Delays in reattempting crisis-house placement after a disputed refusal
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- North London NHS Foundation Trust
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
-
North London NHS Foundation Trust
Require senior clinical review, an alternative plan, documented accountability and formal escalation before finalising any declined crisis house referral.
-
North London NHS Foundation Trust
Provide clinicians with 24/7 Crisis Hub access to senior clinical advice for urgent escalation and referral guidance.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
-
North London NHS Foundation Trust
The referring team is responsible for reviewing declined referrals and agreeing an alternative plan.
-
Concerns raised2
Failure of crisis houses to provide ligature-safe environments
Insufficient clinical capacity and skills mix in crisis houses
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Department of Health and Social Care
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.1
-
Department of Health and Social Care
Request an NHS England report from the relevant integrated care board on local actions to prevent recurrence.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
-
Department of Health and Social Care
Local ICBs and authorities are responsible for arranging crisis house provision and addressing concerns about specific facilities.
-
Concerns raised1
Insufficient availability of crisis home beds
Linked response
- NHS Cumbria Clinical Commissioning Group
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.1
-
NHS Cumbria Clinical Commissioning Group
Develop improved mental health pathways, including the configuration of community and bed-based crisis services across the county.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.
Data last updated 7 September 2026