Observer investigation identifies 56 cases in which patients lost their lives after being unable to access the help that they needed

Shortfalls in mental health services and staffing have been flagged as concerns in dozens of inquests since 2015, the Observer can reveal, with coroners issuing repeated warnings over patients facing long waiting lists or falling through gaps in service provision.

The Observer has identified 56 mental health-related deaths in England and Wales from the start of 2015 to the end of 2020 where coroners identified a lack of staffing or service provision as a “matter of concern”, meaning they believed “there is a risk that future deaths could occur unless action is taken”.

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