“The knowledge and training for those in the mental health setting for managing and…”
Dated 5 Dec 2023, from the coroner for West Sussex, Brighton and Hove. 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
Deadline passedReplies were due by 30 Jan 2024. 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 dated5 Dec 2023
- Deadline30 Jan 2024
- Published on judiciary.uk11 Dec 2023
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Gender Identity Clinic | Response 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. |
| NHS England | Response publishedPublished on judiciary.uk in December 2023. |
| Surrey and Borders Partnership NHS Foundation TrustNamed in the report as “Surrey and Borders NHS Partnership Trust” | Response publishedPublished on judiciary.uk in December 2023. |
| The Royal College of General Practitioners | Response publishedPublished on judiciary.uk in December 2023. |
The coroner’s concerns
a) The knowledge and training for those in the mental health setting for managing and offering care to those in the transgender community. b) The delays in access to gender affirming healthcare. c) The lack of provision of mental health care for those waiting for gender affirming treatment. d) The lack of clarity for clinicians who are in place to support young transgender individuals in Primary Care e) The lack of clarity for clinicians who are in place to support young transgender individuals in the Mental Health Setting.
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, 2023-0503
- 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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