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Coroner’s reportPrevention of future deaths · 2017-0321

“That there is no local in-patient detox facility such as used to exist at Millview…”

Dated 2 Aug 2017, from the coroner for Brighton and Hove. Sent to 3 organisations or people.

A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.

Read the full report on judiciary.uk

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The 56-day response deadline

Report put online after its 56 days

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; a reply may have been sent and not yet published.

judiciary.uk put this report online on 3 Dec 2017, after the 56 days for replies had ended (27 Sep 2017). 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.

  1. Report dated2 Aug 2017
  2. Deadline27 Sep 2017
  3. Published on judiciary.uk3 Dec 2017
  4. Today23 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
Brighton and Hove Clinical Commissioning GroupResponse publishedPublished on judiciary.uk in December 2017.
Sussex Partnership NHS Foundation TrustNamed in the report as “Sussex Partnership NHS Trust”Response publishedPublished on judiciary.uk in December 2017.
PavilionsResponse published, not yet matchedA response is published with this report. We haven’t yet matched it to the organisation it’s from, so it may be this one’s.

Some responses were published as scans, so their text was read automatically. Check the wording against the original before you quote it.

The coroner’s concerns

This report was published as a scan, so its text was read automatically. Check the wording against the original before you quote it.

— (1) That there is no local in-patient detox facility such as used to exist at Millview Hospital. it is not acceptable that local people needing in-patient detox have to travel to Islington away from family and friends. It is also unacceptable that the waiting list is so long especially when often Mental Health will not be fully addressed until detox has taken place. How many dual diagnosis patients are there in the UK? (2) A much more collaborative approach to dual diagnosis patient’s treatment is needed. The dual diagnosis is at the heart of this problem. It is not appropriate to try to separate each component and only agree to treat/assess one component when the other is dealt with. The dual diagnosis is the person. When in crisis they are doubly at risk. That period of risk should be reduced as quickly as possible. The delays and refusals serve to exacerbate the patient's distress and increase their despair. As Thomas Wall said in a text message to his supportive ex-wife. ‘| want to get better but | can’t do that on my own whereas | can take my life on my own’ 6 ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and | believe you AND your organisation have the power to take such action. 7 YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report, namely by 23% October 2017. |, the coroner may extend the period.

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, 2017-0321
Added to Minute Book
8 Oct 2026
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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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