“The operation of the Cornwall dual diagnosis policy and the interface between Addaction…”
Dated 11 Feb 2019, from the coroner for Cornwall and the Isles of Scilly. 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.
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 24 May 2019, after the 56 days for replies had ended (8 Apr 2019). 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 dated11 Feb 2019
- Deadline8 Apr 2019
- Published on judiciary.uk24 May 2019
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| NHS Kernow | Response publishedPublished on judiciary.uk in May 2019. |
| Cornwall Partnership NHS Foundation TrustNamed in the report as “Cornwall NHS Trust” | Report put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 24 May 2019, after the 56 days for replies had ended (8 Apr 2019). These dates can’t tell us whether a reply was due before it went online. |
| Drug, Alcohol Action Team Cornwall Council | Report put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 24 May 2019, after the 56 days for replies had ended (8 Apr 2019). These dates can’t tell us whether a reply was due before it went online. |
The coroner’s concerns
(1) The operation of the Cornwall dual diagnosis policy and the interface between Addaction and CMHT. (2) The development and implementation of the delivery plan in relation to the existing service level agreement between CMHT and Addaction. (3) The working relationship between CMHT and Addaction.
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, 2019-0045
- 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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