“1 There were no attempts by mental health services to speak to Mark directly to properly…”
Dated 16 May 2023, from the coroner for South Yorkshire West. Sent to 1 organisation or person.
A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.
The 56-day response deadline
All responses publishedOrganisations that receive a report must reply to the coroner within 56 days, saying what they will do or why they will do nothing. We show whether a response is published on judiciary.uk; a reply may have been sent and not yet published.
- Report dated16 May 2023
- Deadline11 Jul 2023
- Published on judiciary.uk4 Aug 2025
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| South West Yorkshire Partnership Teaching NHS Foundation TrustNamed in the report as “South West Yorkshire Partnership NHS Foundation Trust” | Response publishedPublished on judiciary.uk in August 2025. |
The coroner’s concerns
– 1 There were no attempts by mental health services to speak to Mark directly to properly and adequately assess his mental health condition.
An extract. Read the full report, including the circumstances of the death, on the Courts and Tribunals Judiciary website.
- Source
- judiciary.uk, Prevention of Future Deaths reports, 2025-0400
- Added to Minute Book
- 8 Oct 2026
- Reuse
- We show short extracts and link to the original. We don’t host the full report.
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Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0
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