PFD report

Daniel Cameron SHORROCKS · Prevention of Future Deaths report

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Issued 1 Aug 2019•Plymouth, Torbay and South Devon

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.

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Concerns
2

Raised in this report

Recipients
2

Named on the report

Responses found
2

Of 2 recipients

Stated actions
3

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.

Concerns raised2

  1. Insufficient qualified and experienced staffing in Local Authorities serving high proportions of young people in care
  2. Failure to integrate care, adolescent mental health and education pastoral services
    Part of recurring concern: Failure to integrate mental health and education pastoral services
Responses linked to these concerns

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

Actions described in response An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.3

  1. Action

    Establish NHS-funded Mental Health Support Teams in 20–25% of the country by 2023 to provide additional school- and college-based mental health support.

    Stated by Department for Education and Department of Health and Social CareStated plannedThe respondent said that this action was planned when they made their response on 18 October 2019.
  2. Action

    Review the care system to ensure care placements and settings support looked-after children and young adults.

    Stated by Department for Education and Department of Health and Social CareStated plannedThe respondent said that this action was planned when they made their response on 18 October 2019.
  3. Action

    Make the Department for Education-funded Link Programme available across England to connect schools, colleges and children’s mental health services.

    Stated by Department for Education and Department of Health and Social CareStated plannedThe respondent said that this action was planned when they made their response on 18 October 2019.

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 qualified and experienced staffing in Local Authorities serving high proportions of young people in care

Wider context from the report

“(1) I ask please that your Department reviews the availability of resources to those Local Authorities which have a high proportion of young people in care and disproportionately few qualified and experienced staff. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

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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

Failure to integrate care, adolescent mental health and education pastoral services

Wider context from the report

“(2) I would also ask your Department to review the integration of services between Local Authority Care Services, Adolescent Mental Health Services and Pastoral Care provided in education settings. ”

Is this part of a recurring concern?

Yes — Failure to integrate mental health and education pastoral 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

Establish NHS-funded Mental Health Support Teams in 20–25% of the country by 2023 to provide additional school- and college-based mental health support.

Verbatim wording from the response

“Improving the join up between local health and education services is at the heart of this programme of work led by NHS England, the Department of Health and Social Care, the Department for Education and Health Education England. The new NHS funded Mental Health Support Teams resulting from the consultation, which will be established in 20-25 per cent of the country by 2023, are designed to work in and around schools and colleges to provide additional capacity to address the mental health needs of children and young people. These teams will deliver interventions for those with mild to moderate mental health issues, support education settings to develop whole school or college approaches to promote good mental health and help children and young people with more severe needs to access the right support by working with schools and colleges to provide a link to specialist NHS services.”

Source location

2019-0282-Response-by-Department-of-Health-and-Social-Care
Page 3 · response
Published 18 October 2019

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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

Review the care system to ensure care placements and settings support looked-after children and young adults.

Verbatim wording from the response

“Firstly, you asked that we review the availability of resources to those local authority care services which have a high proportion of young people in care and disproportionately few qualified staff.”

Source location

2019-0282-Response-by-Department-of-Health-and-Social-Care
Page 1 · response
Published 18 October 2019

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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

Make the Department for Education-funded Link Programme available across England to connect schools, colleges and children’s mental health services.

Verbatim wording from the response

“Finally, to further support the integration between schools and colleges, and local mental health services, over the next four years, from 2019 to 2023, the Department for Education-funded Link Programme will be made available to all areas and CCGs, and through them to every school and college (including alternative provision settings) and children and young people's mental health services in England. The Link Programme encourages better join-up and communication between education settings and specialist children and young people’s mental health services. This will help more children and young people get the right support when they need it and help prevent individuals falling between the cracks in provision or experiencing poor transition between services.”

Source location

2019-0282-Response-by-Department-of-Health-and-Social-Care
Page 4 · response
Published 18 October 2019

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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