“Evidence emerged during the inquest that the when Ms Baynham had left hospital on the 22…”
Dated 3 Apr 2017, from the coroner for Black Country. Sent to 2 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
Deadline passedReplies were due by 29 May 2017. A reply may have been sent and not yet published.
Organisations 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.
- Report dated3 Apr 2017
- Deadline29 May 2017
- Published on judiciary.uk16 May 2017
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| NHS Black Country Integrated Care BoardNamed in the report as “Black Country NHS” | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 29 May 2017. A reply may have been sent and not yet published. |
| New Cross Hospital | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 29 May 2017. A reply may have been sent and not yet published. |
The coroner’s concerns
– 1. Evidence emerged during the inquest that the when Ms Baynham had left hospital on the 22 November 2017, there was no further referral made back to Mental Health Liaison Service. This may have triggered a further assessment about her mental state and risk of self-harm.
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, 2017-0104
- 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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