Source · Prevention of Future Deaths

Scott Taylor

Ref: 2026-0323 Date: 6 Jul 2026 Coroner: James Thompson Area: Gateshead & South Tyneside 2 responses identified · 1 indexed addressee View PDF

AI-generated concerns summaryThere are a limited number of tertiary centres for treatment-resistant OCD in the UK, predominantly in London and the South East, which limits access for complex cases due to capacity, criteria, and geographical distribution.

Date 6 Jul 2026
56-day deadline 31 Aug 2026 stated in the report
Responses identified 2 of 1

Coroner's concerns

AI summary
There are a limited number of tertiary centres for treatment-resistant OCD in the UK, predominantly in London and the South East, which limits access for complex cases due to capacity, criteria, and geographical distribution.
View full coroner's concerns
At the time of writing this report it appears that only a small number of tertiary centres able  to care for patients with treatment resistant OCD exist in the United Kingdom. They appear to be located in London and the South East. 

The criteria to access these services and the limited capacity they have, it seems prevents clinicians treating patients being able to call upon specialist services that a tertiary centre/s can provide to they patients. Particularly, where a patient’s case is complex and resistant  to all that primary and secondary care services can offer in terms of treatment. 

These centres are also not located across the whole of the United Kingdom for ease of access for those patients not residing in the immediate locality of the current centres.

Responses

2 respondents

NHS England

NHS / Health Body
PDF
AI-classified response stance Noted
AI-generated response summary

NHS England explains the existing national highly specialised service for severe OCD/BDD, which operates across five integrated centres, and outlines current NHS arrangements for patient travel costs. They also mention a general internal working group for PFD reports.

Department of Health and Social Care

Central Government
PDF
AI-classified response stance Noted
AI-generated response summary

The Department of Health and Social Care states that responsibility for commissioning specialist OCD care sits with NHS England, to whom they have deferred a detailed response. They also outline general ongoing and future mental health initiatives, but none specific to tertiary OCD services.

Report sections

Investigation and inquest
On 16th May 2023 I commenced an investigation into the death of Scott Alan Taylor, aged 49 years. 

My investigation concluded at the end of his inquest hearing on 6th July 2026.

The medical cause of death was –

1a Pressure on neck 1b Hanging 

Scott Taylor died on 12th May 2023 after suspending himself  [REDACTED]. This act caused his death and this was his intention. 

A conclusion of suicide was recorded.
Circumstances of the death
Mr Taylor at the time of his death was suffering with a profound and long standing mental illness. It was diagnosed as Obsessive Compulsive Disorder. He was receiving treatment in the community, but he had also been treated as an in patient. His condition was  resistant to treatment at the time of his death. 

Referrals had been made to a tertiary service to provide specialist treatment for his  condition. Access to this service is dependant on the patient completing a certain amount of treatment in primary and secondary settings before a referral can be accepted. 

It was heard in evidence that at the time of Mr Taylor’s death, had he been successful in  accessing this centre, there was a waiting list of over 12-15 months before treatment could begin. 

The only centre to provide this care at the time was in London. Mr Taylor lived in the North East of England. 

Mr Taylor, two days prior to his death had expressed his feelings of hopelessness due to  the inability of accessing specialist treatment at such a centre and the timescales involved.
Action should be taken
In my opinion unless action is taken to address the above concerns then there is a significant risk of future deaths and I believe each of you have the power  to take such action.
Copies sent to
I can confirm I have sent the report to2.    Cumbria, Northumberland and Tyne & Wear NHS Foundation Trust

Similar PFD reports

Shared signals

Report details

Reference
2026-0323
Date of report
6 July 2026
Coroner
James Thompson
Coroner area
Gateshead & South Tyneside

Responses identified

Responses identified 2 of 1
All listed responses identified

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 31 Aug 2026 (stated in the report).

Sent to

Department of Health and Social Care

Part of a series

2 reports
2026-0092 All responses identified

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