“During the inquest evidence was heard that: i”

The coroner’s concerns

1. During the inquest evidence was heard that: i. ii. iii. iv. The number of students commencing or resuming studies following the Covid 19 pandemic with mental health issues and requiring support from the wellbeing services at Arts University Bournemouth has significantly increased. Alec was to be transferred from the Community Mental Health Team in his home town to the Community Mental Health Team in his university town. The transferring CMHT were unaware that it was possible to arrange a direct transfer to the receiving CMHT without the need for Alec to be first registered with a GP surgery in his university town. Alec was admitted to a district hospital on 7/1/22 and seen by the Liaison Psychiatry Team. Following a decision to discharge Alec from hospital it was decided that a referral to the Home Treatment Team was unnecessary. Alec was discharged to a date provided by the CMHT in his university town. There was no involvement of that CMHT in his discharge planning. Alec had initially indicated that he would consent for information to be shared with others but that consent was withdrawn. There was no pro active approach taken by the CMHT in his home town to seek his consent to share information. 2. I have concerns with regard to the following: i. There is no training provided to the wellbeing services at the Arts University Bournemouth in relation to students diagnosed with Emotionally Unstable Personality Disorder. 2 ii. iii. iv. There appears to be a failure amongst staff at the Exter CMHT to appreciate that there can be a direct transfer of a patient’s care to another CMHT Trust without the need for a patient to have to first register with a GP surgery There was a lack of involvement of a responsible clinician in the process of discharge planning from the district hospital in Exeter to the care of Bournemouth CMHT at Dorset Healthcare NHS Foundation Trust. There is no policy in place at Devon Partnership NHS Trust which encourages a repeated proactive approach in seeking consent from a patient to share information at relevant times.

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, 2025-0052

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