The inquiry into mental health services in Essex was expected to examine about 2,000 deaths between 2000 and 2023. But in opening proceedings in Chelmsford, Kate Lampard said she expected to uncover significantly more.
Problems with collecting patient data are among failures to be examined by the inquiry into Essex Partnership university NHS trust, North East London NHS foundation trust and predecessor organisations.
Lampard said: "I find it shocking that we may never be able to say for sure how many people died within the remit of this inquiry."
Nicholas Griffin KC, the counsel to the inquiry, said: "Further work done has already demonstrated that the figure previously given of 2,000 deaths will rise substantially." An updated figure would be provided in November, he said.
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