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Best matches
Report results use published report text and related indexed information, ranked for relevance.
Data updated 7 September 2026
Concerns
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Insufficient mental health service capacity for timely patient care
40 reports 46 recipients
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Insufficient police training for safe recognition and response to mental-health and behaviour-related medical crises
30 reports 48 recipients
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Failure to reliably follow up identified mental-health safety concerns
17 reports 36 recipients
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Failure to ensure frontline personnel recognise mental-health indicators
13 reports 30 recipients
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Excessive waiting times for NHS mental health services
33 reports 29 recipients
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Inadequate university mental-health support systems for students
8 reports 16 recipients
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Inadequate mental health risk assessment
118 reports 116 recipients
Reports
Matched using report evidence
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Joy Burgess · Prevention of Future Deaths report
Circumstances of the death …died from multiple injuries sustained as a consequence of ████████. Ms Burgess had a long history of complex mental health difficulties and had been under the Community Mental Health Team. In addition to being prescribed medication, Ms…
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Daniel HALL · Prevention of Future Deaths report
Circumstances of the death …Daniel received confirmation on 17 and 22 October 2019 that his name had been placed on a waiting list to see a Mental Health Adviser. Due to ill-health and absences of the University’s three Mental Health Advisers, there were ~200…
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Jason Ricardo White · Prevention of Future Deaths report
Circumstances of the death Jason Ricardo White developed mental health symptoms in April 2024 which were essentially depression and psychotic episodes. Mr White engaged with both his…
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Siwan Llio SMITH · Prevention of Future Deaths report
Circumstances of the death …had a long-standing history of anxiety and depression which was exacerbated during the Covid 19 pandemic. Siwan’s mental health deteriorated and she started to have suicidal thoughts. Siwan did not have ongoing support from either primary or…
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Matthew Zak Sheldrick (Matty) · Prevention of Future Deaths report
Circumstances of the death Matty had struggled with their mental health throughout their adult life, but it wasn’t until 2019 that Matty was finally diagnosed with Autism, ADHD and…
Recipients
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National Confidential Inquiry into Suicide and Safety in Mental Health
University research centre
1 report Latest 18 Mar 2022
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Community Mental Health Services for Older People, Llandough Hospital
Sub-organisation
1 report Latest 17 Dec 2013
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