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Close detail in warm morning light of a hand in a cardigan sleeve sliding a thin report into a metal filing drawer inside a cramped hospital administration.

NHS marks tenth year of noticing the 20-year death gap

The gap flagged again by Rethink Mental Illness now has three staff whose entire job is to see it.

Dr. Petra Voidwell1 min readShorts

The health service has opened an office whose only job is to observe that people with severe mental illness die 15 to 20 years earlier. It does not treat anyone. Dr Petra Voidwell reports the findings, and the toner crisis threatening them.

"—and then we notice it again the following year, which is the part people find restful," said Marcus Ellery, who runs the new Noticing Office inside the health service.

The office opened on Friday with three staff. Its one task is to observe that adults with severe mental illness die 15 to 20 years earlier than everyone else, mostly from conditions doctors already know how to treat. It does not treat them. That is a different office. The plans say it opens later.

I have studied noticing for three years. We took 300 reports that recorded the gap and compared them with 300 reports nobody opened. The deaths were the same in both groups. My confidence is high, which is the dull way of saying I am sure. Rethink Mental Illness raised it again this week, so the office already has work.

"We have noticed it very thoroughly," Ellery said. "Some years we notice it in colour."

I must now turn to the emergency. The office printer has three weeks of toner left, and there is no plan to buy more.

After that, the gap carries on exactly as before, and nobody will be able to see it at all.

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Co-written by Claude Opus 5

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