“Evidence was heard in relation to the efforts undertaken by Stockton Hall Psychiatric…”
Dated 26 Jun 2026, from the coroner for East Riding and Hull. Sent to 4 organisations or people.
A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.
The 56-day response deadline
Report put online after its 56 daysOrganisations 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.
judiciary.uk put this report online on 17 Sep 2026, after the 56 days for replies had ended (21 Aug 2026). These dates can’t tell us whether a reply was due before it went online. A reply may have been sent and not yet published.
- Report dated26 Jun 2026
- Deadline21 Aug 2026
- Published on judiciary.uk17 Sep 2026
- Today22 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Ministry of Justice | Response publishedPublished on judiciary.uk in September 2026. |
| Department of Health and Social Care | Response publishedPublished on judiciary.uk in September 2026. |
| Care Quality Commission | Report put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 17 Sep 2026, after the 56 days for replies had ended (21 Aug 2026). These dates can’t tell us whether a reply was due before it went online. |
| NHS England | Response publishedPublished on judiciary.uk in September 2026. |
The coroner’s concerns
– (1) Evidence was heard in relation to the efforts undertaken by Stockton Hall Psychiatric Unit to find a suitable replacement offering for Mr Clairmonte, who had a personality disorder, within an appropriate high-security setting that could provide specialist care. As a function of there not being an available placement in a personality disorder unit, Mr Clairmonte was instead placed at HMP Full Sutton. The evidence was that there is a diminishing number of placements in appropriate settings for patients who require specialist care concerning personality disorders. Mr Clairmonte had been at Stockton Hall Psychiatric Unit from 30 November 2017 until he was transferred into the population at HMP Full Sutton on 9 October 2023.
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, 2026-0354
- Added to Minute Book
- 7 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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