Mental health trust reviews communications after deathpublished at 18:55 Greenwich Mean Time 22 January 2018
Johnny O'Shea
BBC News Online
Patients trying to access mental health services by phone in Cornwall are not always having their calls answered due to low staffing levels, an inquest has heard.
Cornwall Partnership NHS Foundation Trust also told the hearing in Truro a review had found there was "poor written communication" between GPs and mental health teams.
The internal review was conducted after the death of Falmouth university student Caitlin Cook, 21, in Penryn last year.
She had been in contact with mental health teams for about six weeks, and had told her GP there had been a repeated lack of response from them, and she felt her concerns were not being taken seriously.
The trust did not identify a single root cause of her death, but identified a number of contributing factors.
In a statement it said: "When reviewing the care provided to Caitlin, we identified a number of ways we could improve how we communicate with GPs and other organisations.
"This will lead us to make a number of improvements and changes to the way we work.
"In her summing up, the Coroner felt there was evidence that mental health services had attempted to support Caitlin."