Lack of understanding of required actions to prompt police progression
Metropolitan Police Service received 2 coroners' reports about this hazard between 20 Nov 2019 and 23 May 2025.
They came from 2 different coroners in 2 coroner areas. A similar concern was raised again 1 time after the first warning.
No published response from Metropolitan Police Service was found for the earlier reports.
The story, report by report
Spacing grows with the time between reports.
“C&l ward staff did not have a proper understanding of what action the MPS required others to take in order to prompt the police to progress the matter further.”
Original on judiciary.uk ↗ No published response from Metropolitan Police Service was found for this report.
- 5 years 6 months laterClosely relatedConfidence 0.85 · higha different coroner
“You will see from the attached narrative that the jury concluded there was a failure by MPS to implement, disseminate and train relevant staff on relevant policies effectively.”
Original on judiciary.uk ↗ Metropolitan Police Service responded.Response (PDF) ↗
- All reports to Metropolitan Police Service
Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals.
2019 → 2025Lewis Johnson (1)5 years 6 months after Nimo Younis · different coronerClosely relatedConfidence 0.85 · high
Closely relatedConfidence 0.85 · highBoth reports highlight shortcomings in staff understanding or application of police procedures. The earlier report focuses on ward staff lacking knowledge of what actions to take to prompt police, while the later report cites a broader failure by the MPS to implement, disseminate and train staff on relevant policies.
Nimo Younis · 20 Nov 2019
“C&l ward staff did not have a proper understanding of what action the MPS required others to take in order to prompt the police to progress the matter further.”
Original on judiciary.uk ↗ Lewis Johnson (1) · 23 May 2025
“You will see from the attached narrative that the jury concluded there was a failure by MPS to implement, disseminate and train relevant staff on relevant policies effectively.”
Original on judiciary.uk ↗
No published response from Metropolitan Police Service was found for this report.
No specific action could be extracted with a verified quote.
- Each report's concerns were extracted by Nemotron 3 Nano on Nebius Token Factory, each with a quote copied from the report.
- Concerns from reports to Metropolitan Police Service at least six months apart were compared by meaning (Qwen3 embeddings) and wording (TF-IDF).
- The closest pairs were judged by Nemotron 3 Super with reasoning on. Only identical or closely related, with confidence of at least 0.70, are shown.
- Every quote was checked by code as an exact substring of the original text. Names of staff and family are redacted, and the deceased are named by report title only.
| Link | Meaning | Wording | Judge | Coroner |
|---|---|---|---|---|
| 2019 → 2025 | 0.72 | 0.06 | Closely related · 0.85 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
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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.