Recurring concern

Unreliable access to talking therapies

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First reported 31 Jan 2014•Latest report 6 Mar 2025

Definition

What this concern includes

Includes failures in the dedicated talking-therapies access pathway, including referral eligibility and acceptance criteria, referral routes, service-user communication about referral status, waiting-list management and timely provision of talking therapies where these deficiencies can prevent or delay appropriate support.

Not included

  • Excludes generic mental-health service access or referral failures that are not specifically tied to talking therapies.
  • Excludes failures in the quality or clinical content of therapy after treatment has commenced.
  • Excludes generic staffing, communication or capacity deficiencies unless they directly impair access to talking therapies.
  • Excludes access failures for other specialist mental-health services unless the reports explicitly support their inclusion in the same talking-therapies pathway.
Reports
11

Distinct published reports

Individual concerns
12

A report can raise multiple concerns

Date range
2014–2025

First to latest report issue date

Stated actions
21

Described in published responses

Reports over time

Reports 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.

Department of Health and Social Care4
Pennine Care NHS Foundation Trust2
Birmingham and Solihull Mental Health NHS Foundation Trust1
Bradford District Care NHS Foundation Trust1
Bristol NHS Foundation Trust1
Cambridgeshire and Peterborough NHS Foundation Trust1
Cambridgeshire County Council1
Change, Grow, Live1
Greater Manchester Mental Health NHS Foundation Trust1
NHS Birmingham and Solihull Integrated Care Board1
NHS England1
Nottinghamshire Healthcare NHS Foundation Trust1

Concerns and responses across reports

Only concerns grouped under this recurring concern are included. Select any concern, action or position to view the source wording.

  1. Carmarthenshire and Pembrokeshire

    AI-generated summary

    Lee Jay Bonsall · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Lee Jay Bonsall was found hanging from a bannister rail at his home on 3 March 2012, and the inquest recorded the medical cause of death as asphyxia by hanging, with intent unclear. Concerns related to citalopram being prescribed on repeat and the ten-month waiting time for psychotherapy.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Delays in access to psychotherapy making it an unavailable alternative to anti-depressant medication

    Wider context from the report

    “(2) The ten month waiting times for psychotherapy effectively means that this is not a viable alternative to anti-depressant medication and it might well be that a review of these waiting times is appropriate. ”

    Source location

    Lee Jay Bonsall · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Develop revised mental-health access and waiting-time standards to improve parity with physical-health services.

    Verbatim wording from the response

    “The Department and NHS England are committed to ending this imbalance. We believe that it is vital to develop and implement new access and waiting time standards to have true parity of esteem. We are committed to providing access to services and waiting times on a par with physical health.”

    Source location

    2014-0044-Response-by-Department-of-Health-1
    Page 3 · response
    Published 31 January 2014

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Implement revised mental-health access and waiting-time standards through a phased programme beginning in April 2015.

    Verbatim wording from the response

    “The Department and NHS England are committed to ending this imbalance. We believe that it is vital to develop and implement new access and waiting time standards to have true parity of esteem. We are committed to providing access to services and waiting times on a par with physical health.”

    Source location

    2014-0044-Response-by-Department-of-Health-1
    Page 3 · response
    Published 31 January 2014

    Open published response
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Data last updated 7 September 2026