Essex Partnership University NHS Foundation Trust
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Source · Prevention of Future Deaths
Tia Birkitt
Ref: 2026-0348
Date: 15 Jul 2026
Coroner: Stephen Simblet
Area: Essex
1 response identified · 2 indexed addressees
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Response deadline: 11 November 2026 (estimated from the Judiciary.uk publication date).
Date
15 Jul 2026
56-day deadline
11 Nov 2026 est.
estimated from the Judiciary.uk publication date
Responses identified
1 of 2
Coroner's concerns
(1) There is a concern that arrangements for the consideration of referrals made by GP practices in Essex may not lead to acceptance by mental health services or adequate further treatment, or be fully understood in the referral process. (2) there is a concern that patients with presentations such as autism and communication difficulties such...
View full coroner's concerns
(1) There is a concern that arrangements for the consideration of referrals made by GP practices in Essex may not lead to acceptance by mental health services or adequate further treatment, or be fully understood in the referral process. (2) there is a concern that patients with presentations such as autism and communication difficulties such as selective mutism may either not have those difficulties adequately considered in determining what further treatment or referral is to be provided, or may not have adequately explained to them or their families how such treatments or further referrals may actually be delivered in a manner that takes account of those difficulties.
Responses
Report sections
Investigation and inquest
On 22 May 2025 I commenced an investigation into the death of Tia Ann BIRKITT aged 20. The inquest was completed on 15th July 2026, with a narrative conclusion. The deceased took a substantial overdose of her prescribed propranolol medication while at home. An ambulance was called and the deceased received treatment and was conveyed to the Princess Alexandra Hospital for further treatment. By the time of her arrival at hospital the deceased was unconscious. Efforts to resuscitate her were unsuccessful and she died in the emergency department at the hospital at 02:30 on 18th May 2025.
Circumstances of the death
On 22 May 2025 I commenced an investigation into the death of Tia Ann BIRKITT aged 20. The inquest was completed on 15th July 2026, with a narrative conclusion. The deceased took a substantial overdose of her prescribed propranolol medication while at home. An ambulance was called and the deceased received treatment and was conveyed to the Princess Alexandra Hospital for further treatment. By the time of her arrival at hospital the deceased was unconscious. Efforts to resuscitate her were unsuccessful and she died in the emergency department at the hospital at 02:30 on 18th May 2025.
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Report details
- Reference
- 2026-0348
- Date of report
- 15 July 2026
- Coroner
- Stephen Simblet
- Coroner area
- Essex
Responses identified
Responses identified
1 of 2
1 response not yet linked
Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 11 Nov 2026 (estimated from the Judiciary.uk publication date).
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