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recurance

Lack of multi-agency coordination for high-risk offenders

Closely relatedConfidence 0.80 · moderate2 reports · 2019–2022 One-page brief (print or PDF)

Ministry of Justice received 2 coroners' reports about this hazard between 19 Jul 2019 and 21 Jul 2022.

They came from 2 different coroners in 2 coroner areas. A similar concern was raised again 1 time after the first warning.

A published response was found for 1 of the 1 earlier reports, stating 1 specific action.

2
reports
2
different coroners
2019–2022
years
0.80
lowest link confidence

The story, report by report

Spacing grows with the time between reports.

  1. First warning

    Cherylee Shennan↗

    19 Jul 2019 · James Newman · Lancashire & Blackburn with Darwen

    “no local MAPPA 1 meetings, no inter-agency meetings and no significant inter-agency communications regarding the perpetrator, no detailing of his licence conditions, and no information regarding either his nature or the trigger factors for his offending”
    Original on judiciary.uk ↗

    Ministry of Justice responded, stating 1 specific action.Response (PDF) ↗Response (PDF) ↗

    “proposed. | have sent a copy of my report to the Chief Coroner and to the following [name redacted]: a: DPG Solicitors”

    Stated timescale: by 3rd September 2019

  2. 3 years later

    Raised again · 1st time

    Lewis Powter↗

    21 Jul 2022 · Lorna Skinner · Cambridgeshire and Peterborough

    Closely relatedConfidence 0.80 · moderatea different coroner
    “there is no policy/procedure/guidance encouraging consideration to be given to the issues of whether and when to hold multi- agency meetings for the purposes of sharing information about the offender”
    Original on judiciary.uk ↗

    Repeated from the earlier report:meetingsinformation

    The most recent report. A response may not be due or published yet.

  3. All reports to Ministry of Justice

Next

This shows that a similar concern was raised again after an earlier report. It does not say why, and it is not a finding about any organisation or person. To report an error, see the corrections route.

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error