Source · HSSIB Patient Safety Investigation

Mental health: physical health deterioration while under the care of a low secure unit

Published 30 July 2026 Published
Mental health Hospital care Patient safety themes

HSSIB has modelled an approach to investigating patient safety events under the NHS Patient Safety Incident Response Framework (PSIRF). This report considers the care of a person with a mental health condition who was being cared for on a mental health low secure unit. His physical health deteriorated and he had to be admitted to an emergency department.

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No items extracted

No safety recommendations, observations, actions, learning prompts, scope items, or areas of improvement were extracted from this investigation.

This may be a launched investigation with no published scope bullets yet, or a thematic review without extractable formal items.

View the full investigation on HSSIB ↗