PFD report

Scott Alan Taylor · Prevention of Future Deaths report

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Issued 6 Jul 2026•Gateshead and South Tyneside

Report record

Published report and response evidence

This page connects the concerns raised in this report with statements found in recipients’ published responses. A link shows a clear evidence connection; it does not assign responsibility.

View original report
Concerns
3

Raised in this report

Recipients
1

Named on the report

Responses found
2

Of 1 recipient

Stated actions
7

Described in responses

Recipients and published responses

Source document

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.

Report evidence summary

Concerns raised3

  1. Geographic concentration of tertiary specialist services for treatment-resistant OCD
    Part of recurring concern: Unreliable access to specialist mental health treatment for serious mental illness
  2. Insufficient capacity of tertiary specialist services for treatment-resistant OCD
  3. Restrictive criteria for access to tertiary specialist services for treatment-resistant OCD
    Part of recurring concern: Unreliable access to specialist mental health treatment for serious mental illness
Responses linked to these concerns

Each statement is shown once, even when linked to more than one concern.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.2

  1. Position

    Commissioning specialist tertiary OCD care is assigned to ICBs, overseen by NHS England, which will provide the response.

    Stated by Department of Health and Social CareRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.

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

Geographic concentration of tertiary specialist services for treatment-resistant OCD

Wider context from the report

“At the time of writing this report it appears that only a small number of tertiary centres able to care for patients with treatment resistant OCD exist in the United Kingdom. They appear to be located in London and the South East. The criteria to access these services and the limited capacity they have, it seems prevents clinicians treating patients being able to call upon specialist services that a tertiary centre/s can provide to they patients. Particularly, where a patient’s case is complex and resistant to all that primary and secondary care services can offer in terms of treatment. These centres are also not located across the whole of the United Kingdom for ease of access for those patients not residing in the immediate locality of the current centres. ”

Is this part of a recurring concern?

Yes — Unreliable access to specialist mental health treatment for serious mental illness.

Open source report

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

Insufficient capacity of tertiary specialist services for treatment-resistant OCD

Wider context from the report

“At the time of writing this report it appears that only a small number of tertiary centres able to care for patients with treatment resistant OCD exist in the United Kingdom. They appear to be located in London and the South East. The criteria to access these services and the limited capacity they have, it seems prevents clinicians treating patients being able to call upon specialist services that a tertiary centre/s can provide to they patients. Particularly, where a patient’s case is complex and resistant to all that primary and secondary care services can offer in terms of treatment. These centres are also not located across the whole of the United Kingdom for ease of access for those patients not residing in the immediate locality of the current centres. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

Open source report

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

Restrictive criteria for access to tertiary specialist services for treatment-resistant OCD

Wider context from the report

“At the time of writing this report it appears that only a small number of tertiary centres able to care for patients with treatment resistant OCD exist in the United Kingdom. They appear to be located in London and the South East. The criteria to access these services and the limited capacity they have, it seems prevents clinicians treating patients being able to call upon specialist services that a tertiary centre/s can provide to they patients. Particularly, where a patient’s case is complex and resistant to all that primary and secondary care services can offer in terms of treatment. These centres are also not located across the whole of the United Kingdom for ease of access for those patients not residing in the immediate locality of the current centres. ”

Is this part of a recurring concern?

Yes — Unreliable access to specialist mental health treatment for serious mental illness.

Open source report

Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation

Commissioning specialist tertiary OCD care is assigned to ICBs, overseen by NHS England, which will provide the response.

Verbatim wording from the response

“Responsibility for the commissioning of specialist tertiary care for the treatment of OCD sits with Integrated Care Boards (ICBs) which are overseen by NHS England.”

Source location

Response from Department of Health and Social Care
Page 1 · response
Published 2 September 2026

Open published response

Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation

Highly specialised OCD/BDD care cannot feasibly be provided through specialist centres in every region or general healthcare settings.

Verbatim wording from the response

“It is correct to note that all five specialist centres are concentrated in the South East region, with four of them located in London. This distribution is not a deliberate policy choice but reflects the availability of providers with the necessary expertise to deliver this highly specialised care. While this concentration allows for the delivery of high quality, evidence-based treatment from recognised centres of excellence, it may pose challenges in terms of access for patients located in other regions of England. This geographic concentration underscores the importance of ongoing collaboration with local mental health services to manage care coordination and ensure equitable access.”

Source location

Response from NHS England
Page 3 · response
Published 2 September 2026

Open published response

Other statements in published responses

These actions and other statements could not be clearly connected to one concern in this report.

Recipient-stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.7

  1. 1

    Pilot six community-based adult mental health centres integrating community, crisis and inpatient care.

    Stated by Department of Health and Social CareStated in progressThe respondent said that this action was in progress when they made their response on 2 September 2026.
  2. 2

    Improve patients’ direct access to 24/7 support through the NHS App.

    Stated by Department of Health and Social CareStated in progressThe respondent said that this action was in progress when they made their response on 2 September 2026.
  3. 3

    Prioritise early intervention and recovery in the upcoming mental health strategy.

    Stated by Department of Health and Social CareStated plannedThe respondent said that this action was planned when they made their response on 2 September 2026.
  4. 4

    Deliver new, innovative community-based models of mental health care.

    Stated by Department of Health and Social CareStated in progressThe respondent said that this action was in progress when they made their response on 2 September 2026.
  5. 5

    Invest in mental health emergency departments.

    Stated by Department of Health and Social CareStated in progressThe respondent said that this action was in progress when they made their response on 2 September 2026.
  6. 6

    Provide expanded NHS Talking Therapies services.

    Stated by Department of Health and Social CareStated in progressThe respondent said that this action was in progress when they made their response on 2 September 2026.
  7. 7

    Discuss received Prevention of Future Deaths reports through the Regulation 28 Working Group and share learning across national and regional NHS services.

    Stated by NHS EnglandStated completedThe respondent said that this action was complete when they made their response on 2 September 2026.

Recipient positions A position is what a recipient says about a concern when they do not describe a specific action.1

  1. 1

    The specialist OCD/BDD service does not routinely fund travel because eligible patients can use established NHS travel-cost and patient-transport arrangements.

    Stated by NHS EnglandExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.

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

Pilot six community-based adult mental health centres integrating community, crisis and inpatient care.

Verbatim wording from the response

“We know that long waits are being driven by increasing demand to a system in desperate need of change. We are already responding by delivering new, innovative models of care in the community, and are piloting six community-based adult mental health centres to bring together community, crisis and inpatient care. We are also providing more NHS Talking Therapies, investing in mental health emergency departments and giving patients better access to 24/7 support directly through the NHS App. Through our upcoming mental health strategy, we will put more emphasis on early intervention and recovery to support people to live well and thrive.”

Source location

Response from Department of Health and Social Care
Page 1 · response
Published 2 September 2026

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

Improve patients’ direct access to 24/7 support through the NHS App.

Verbatim wording from the response

“We know that long waits are being driven by increasing demand to a system in desperate need of change. We are already responding by delivering new, innovative models of care in the community, and are piloting six community-based adult mental health centres to bring together community, crisis and inpatient care. We are also providing more NHS Talking Therapies, investing in mental health emergency departments and giving patients better access to 24/7 support directly through the NHS App. Through our upcoming mental health strategy, we will put more emphasis on early intervention and recovery to support people to live well and thrive.”

Source location

Response from Department of Health and Social Care
Page 1 · response
Published 2 September 2026

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

Prioritise early intervention and recovery in the upcoming mental health strategy.

Verbatim wording from the response

“We know that long waits are being driven by increasing demand to a system in desperate need of change. We are already responding by delivering new, innovative models of care in the community, and are piloting six community-based adult mental health centres to bring together community, crisis and inpatient care. We are also providing more NHS Talking Therapies, investing in mental health emergency departments and giving patients better access to 24/7 support directly through the NHS App. Through our upcoming mental health strategy, we will put more emphasis on early intervention and recovery to support people to live well and thrive.”

Source location

Response from Department of Health and Social Care
Page 1 · response
Published 2 September 2026

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

Deliver new, innovative community-based models of mental health care.

Verbatim wording from the response

“We know that long waits are being driven by increasing demand to a system in desperate need of change. We are already responding by delivering new, innovative models of care in the community, and are piloting six community-based adult mental health centres to bring together community, crisis and inpatient care. We are also providing more NHS Talking Therapies, investing in mental health emergency departments and giving patients better access to 24/7 support directly through the NHS App. Through our upcoming mental health strategy, we will put more emphasis on early intervention and recovery to support people to live well and thrive.”

Source location

Response from Department of Health and Social Care
Page 1 · response
Published 2 September 2026

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 in mental health emergency departments.

Verbatim wording from the response

“We know that long waits are being driven by increasing demand to a system in desperate need of change. We are already responding by delivering new, innovative models of care in the community, and are piloting six community-based adult mental health centres to bring together community, crisis and inpatient care. We are also providing more NHS Talking Therapies, investing in mental health emergency departments and giving patients better access to 24/7 support directly through the NHS App. Through our upcoming mental health strategy, we will put more emphasis on early intervention and recovery to support people to live well and thrive.”

Source location

Response from Department of Health and Social Care
Page 1 · response
Published 2 September 2026

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 expanded NHS Talking Therapies services.

Verbatim wording from the response

“We know that long waits are being driven by increasing demand to a system in desperate need of change. We are already responding by delivering new, innovative models of care in the community, and are piloting six community-based adult mental health centres to bring together community, crisis and inpatient care. We are also providing more NHS Talking Therapies, investing in mental health emergency departments and giving patients better access to 24/7 support directly through the NHS App. Through our upcoming mental health strategy, we will put more emphasis on early intervention and recovery to support people to live well and thrive.”

Source location

Response from Department of Health and Social Care
Page 1 · response
Published 2 September 2026

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

Discuss received Prevention of Future Deaths reports through the Regulation 28 Working Group and share learning across national and regional NHS services.

Verbatim wording from the response

“I would also like to provide further assurances on the national NHS England work taking place around the Reports to Prevent Future Deaths. All reports received are discussed by the Regulation 28 Working Group, comprising Regional Medical Directors, and other clinical and quality colleagues from across the regions. This ensures that key learnings and insights around events, such as the sad death of Mr Taylor, are shared across the NHS at both a national and regional level and helps us to pay close attention to any emerging trends that may require further review and action.”

Source location

Response from NHS England
Page 4 · response
Published 2 September 2026

Open published response

Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation

The specialist OCD/BDD service does not routinely fund travel because eligible patients can use established NHS travel-cost and patient-transport arrangements.

Verbatim wording from the response

“For the national specialist OCD/BDD services, there is no separate commissioning provision within the service specification for providers or NHS England to routinely fund patients’ travel to access treatment.”

Source location

Response from NHS England
Page 3 · response
Published 2 September 2026

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

Official responses located
2/1

Data last updated 7 September 2026