“The Trust had a shortfall of nursing staff in the Dover and Deal area at the time that…”
Dated 31 Mar 2023, from the coroner for Central and South East Kent. 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 26 May 2023. 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 dated31 Mar 2023
- Deadline26 May 2023
- Published on judiciary.uk14 Apr 2023
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| NHS Kent and Medway Integrated Care Board | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 26 May 2023. A reply may have been sent and not yet published. |
| Kent & Medway NHS & Social Care Partnership Trust | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 26 May 2023. A reply may have been sent and not yet published. |
The coroner’s concerns
– The Trust had a shortfall of nursing staff in the Dover and Deal area at the time that Benjamin Hart was under the community mental health team such that although 16 nurses were required to run the service, the Trust only had 8 nurses employed at the time, 2 of whom were long term sick. This left a working complement of 6 nurses to cover the whole area, which required them to take on additional duties. There was no resilience within the team and therefore when the relationship between Ben and his care coordinator broke down there was no capacity within the team to allocate him another care coordinator. 6 Although the Trust has regrouped, reorganised and there has been some limited recruitment the shortfall endures; the evidence given at the inquest being that this is a national issue but it is particularly difficult to recruit within this area of Kent
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, 2023-0113
- Added to Minute Book
- 8 Oct 2026
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- 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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