Shaun Lea Turner · Prevention of Future Deaths report

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Issued 3 Mar 2020•Manchester South

Published report and response evidence

This report’s concerns and statements found in recipients’ published responses. Statements are included even where no link to an individual concern is recorded. A link shows an evidence connection; it does not assign responsibility.

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Concerns
1

Raised in this report

Recipients
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
12

Described in responses

Recipients and published responses

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

Select any concern, action or position to view the source wording.

Concerns raised1

  1. Delays in accessing appropriate mental health services and receiving support
    Part of recurring concern: Excessive waiting times for NHS mental health services

Stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.12

  1. Department of Health and Social Care

    Allocate national funding to transform urgent and emergency mental health care and provide alternative provision, including safe havens and crisis cafes.

  2. Department of Health and Social Care

    Provide additional funding from 2021 to further strengthen urgent and emergency mental health crisis services.

  3. Department of Health and Social Care

    Expand access to talking and psychological therapies through the Improving Access to Psychological Therapies programme.

  4. Department of Health and Social Care

    Publish the Cross-Government Suicide Prevention Workplan setting out the national and local suicide prevention programme.

  5. Department of Health and Social Care

    Introduce mental health access and waiting-time standards, including standards for early psychosis intervention and psychological therapies.

  6. Department of Health and Social Care

    Implement emergency mental health waiting-time targets from 2020/21, aligned with emergency physical-health targets.

  7. Department of Health and Social Care

    Provide investment to all areas by 2023/24 to support local suicide prevention plans and establish bereavement support services.

  8. Department of Health and Social Care

    Establish round-the-clock community mental health crisis services in every local health service by 2021, with self-referral for escalating needs.

  9. Department of Health and Social Care

    Implement suicide prevention policies across local authorities, mental health trusts and prisons.

  10. Department of Health and Social Care

    Test and roll out comprehensive adult and children’s mental health waiting-time standards.

  11. Department of Health and Social Care

    Invest £57 million in suicide prevention through the NHS Long Term Plan.

  12. Department of Health and Social Care

    Ensure additional adults and older adults can access NICE-approved Improving Access to Psychological Therapies services by 2023/24.

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Delays in accessing appropriate mental health services and receiving support

Wider context from the report

“During the course of the inquest, evidence was given by Mr Turner's family that whilst they accepted that there had been attempted contact of him by mental health services he was worried about how long it would take him to be able to access appropriate mental health services and receive support. He was aware through previous contact with Mental Health services that there could be delays and when he missed a call from them, the impact of that in relation to accessing mental health services preyed on his mind. ”

Is this part of a recurring concern?

Yes — Excessive waiting times for NHS mental health services.

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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

Allocate national funding to transform urgent and emergency mental health care and provide alternative provision, including safe havens and crisis cafes.

Verbatim wording from the response

“We recognise the need for people experiencing a mental health crisis to get the care that they need quickly. Every local health service has now signed up to having a round the clock community mental health crisis service by 2021, with people whose needs might be escalating to crisis point able to self-refer in the same way they can for urgent physical health care. More than £200million of national funding has been allocated to local areas to transform urgent and emergency mental health care and provide new, alternative forms of provision, such as safe havens and crisis cafes. An additional £140million will bolster these services further from 2021 onwards.”

Source location

2020-0050-Response-from-the-Department-of-Health-and-Social-Care-1
Page 2 · response
Published 10 March 2020

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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

Provide additional funding from 2021 to further strengthen urgent and emergency mental health crisis services.

Verbatim wording from the response

“We recognise the need for people experiencing a mental health crisis to get the care that they need quickly. Every local health service has now signed up to having a round the clock community mental health crisis service by 2021, with people whose needs might be escalating to crisis point able to self-refer in the same way they can for urgent physical health care. More than £200million of national funding has been allocated to local areas to transform urgent and emergency mental health care and provide new, alternative forms of provision, such as safe havens and crisis cafes. An additional £140million will bolster these services further from 2021 onwards.”

Source location

2020-0050-Response-from-the-Department-of-Health-and-Social-Care-1
Page 2 · response
Published 10 March 2020

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

Expand access to talking and psychological therapies through the Improving Access to Psychological Therapies programme.

Verbatim wording from the response

“We are expanding access to talking and psychological therapies and improving quality through the Improving Access to Psychological Therapies (IAPT) programme¹. Already, over 1 million people a year are starting treatment and we are aiming to increase access to psychological therapies for an additional 600,000 people with common mental health problems each year by 2020/21. The NHS Long Term Plan² commits to ensuring that an additional 380,000 adults and older adults will be able to access NICE³-approved IAPT services by 2023/24.”

Source location

2020-0050-Response-from-the-Department-of-Health-and-Social-Care-1
Page 1 · response
Published 10 March 2020

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

Publish the Cross-Government Suicide Prevention Workplan setting out the national and local suicide prevention programme.

Verbatim wording from the response

“We know that every suicide is a tragedy that has a devastating and enduring impact on families and communities. In January 2019, we published the first Cross-Government Suicide Prevention Workplan⁵, which sets out an ambitious programme across national and local government and the NHS. It will see every local authority, mental health trust and prison in the country implementing suicide prevention policies.”

Source location

2020-0050-Response-from-the-Department-of-Health-and-Social-Care-1
Page 2 · response
Published 10 March 2020

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

Introduce mental health access and waiting-time standards, including standards for early psychosis intervention and psychological therapies.

Verbatim wording from the response

“We have introduced the first ever access and waiting time standards for mental health services, including standards for early intervention for people experiencing a first episode of psychosis and accessing psychological and talking therapies. These are being met or are on track for delivery. In addition, the NHS has committed to testing and rolling out comprehensive waiting time standards for adults and children over the next decade.”

Source location

2020-0050-Response-from-the-Department-of-Health-and-Social-Care-1
Page 1 · response
Published 10 March 2020

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 emergency mental health waiting-time targets from 2020/21, aligned with emergency physical-health targets.

Verbatim wording from the response

“The NHS Long Term Plan also commits to specific waiting times targets for emergency mental health services which will take effect for the first time from 2020/21 onwards and will align with the equivalent targets for emergency physical health services.”

Source location

2020-0050-Response-from-the-Department-of-Health-and-Social-Care-1
Page 2 · response
Published 10 March 2020

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

Provide investment to all areas by 2023/24 to support local suicide prevention plans and establish bereavement support services.

Verbatim wording from the response

“Finally, we are investing £57million in suicide prevention through the NHS Long Term Plan. All areas of the country will see investment by 2023/24 to support local suicide prevention plans and establish bereavement support services.”

Source location

2020-0050-Response-from-the-Department-of-Health-and-Social-Care-1
Page 2 · response
Published 10 March 2020

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

Establish round-the-clock community mental health crisis services in every local health service by 2021, with self-referral for escalating needs.

Verbatim wording from the response

“We recognise the need for people experiencing a mental health crisis to get the care that they need quickly. Every local health service has now signed up to having a round the clock community mental health crisis service by 2021, with people whose needs might be escalating to crisis point able to self-refer in the same way they can for urgent physical health care. More than £200million of national funding has been allocated to local areas to transform urgent and emergency mental health care and provide new, alternative forms of provision, such as safe havens and crisis cafes. An additional £140million will bolster these services further from 2021 onwards.”

Source location

2020-0050-Response-from-the-Department-of-Health-and-Social-Care-1
Page 2 · response
Published 10 March 2020

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 suicide prevention policies across local authorities, mental health trusts and prisons.

Verbatim wording from the response

“We know that every suicide is a tragedy that has a devastating and enduring impact on families and communities. In January 2019, we published the first Cross-Government Suicide Prevention Workplan⁵, which sets out an ambitious programme across national and local government and the NHS. It will see every local authority, mental health trust and prison in the country implementing suicide prevention policies.”

Source location

2020-0050-Response-from-the-Department-of-Health-and-Social-Care-1
Page 2 · response
Published 10 March 2020

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

Test and roll out comprehensive adult and children’s mental health waiting-time standards.

Verbatim wording from the response

“We have introduced the first ever access and waiting time standards for mental health services, including standards for early intervention for people experiencing a first episode of psychosis and accessing psychological and talking therapies. These are being met or are on track for delivery. In addition, the NHS has committed to testing and rolling out comprehensive waiting time standards for adults and children over the next decade.”

Source location

2020-0050-Response-from-the-Department-of-Health-and-Social-Care-1
Page 1 · response
Published 10 March 2020

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

Invest £57 million in suicide prevention through the NHS Long Term Plan.

Verbatim wording from the response

“Finally, we are investing £57million in suicide prevention through the NHS Long Term Plan. All areas of the country will see investment by 2023/24 to support local suicide prevention plans and establish bereavement support services.”

Source location

2020-0050-Response-from-the-Department-of-Health-and-Social-Care-1
Page 2 · response
Published 10 March 2020

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

Ensure additional adults and older adults can access NICE-approved Improving Access to Psychological Therapies services by 2023/24.

Verbatim wording from the response

“We are expanding access to talking and psychological therapies and improving quality through the Improving Access to Psychological Therapies (IAPT) programme¹. Already, over 1 million people a year are starting treatment and we are aiming to increase access to psychological therapies for an additional 600,000 people with common mental health problems each year by 2020/21. The NHS Long Term Plan² commits to ensuring that an additional 380,000 adults and older adults will be able to access NICE³-approved IAPT services by 2023/24.”

Source location

2020-0050-Response-from-the-Department-of-Health-and-Social-Care-1
Page 1 · response
Published 10 March 2020

Open published response
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Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026