Inadequate CAWN risk assessment for young persons
Home Office received 2 coroners' reports about this hazard between 14 Jan 2019 and 1 May 2026.
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 2 specific actions.
The story, report by report
Spacing grows with the time between reports.
“In issuing, the CAWN there was no evidence that his known vulnerability had been taken into account. A risk assessment had not been carried out.”
Original on judiciary.uk ↗ Home Office responded, stating 2 specific actions.Response (PDF) ↗
“The College is about to release updated APP on issuing CAWNs and this will reflect the need to carry outa risk assessment. There”
“contained in College Investigations APP will be updated to reflect the requirement to keep both victims and suspects updated on progress of cases, including informing a suspect when an investigation about them has been concluded.”
- 7 years 4 months laterClosely relatedConfidence 0.70 · moderatea different coroner
“Thought should be given to the creation of a young person's protection by way of creation of an extension to the CAWN for the young person, against the adult creating that safeguarding risk e.g. young person's abuse warning notice.”
Original on judiciary.uk ↗ Repeated from the earlier report:CAWNrisk
Home Office responded.Response (PDF) ↗Response (PDF) ↗Response (PDF) ↗Response (PDF) ↗
- All reports to Home Office
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 → 2026Natasha Hill7 years 4 months after Dane Pearson · different coronerClosely relatedConfidence 0.70 · moderate
Closely relatedConfidence 0.70 · moderateBoth reports highlight problems with the use of the Child Abduction Warning Notice (CAWN) where vulnerabilities of individuals were not properly considered before issuance.
Dane Pearson · 14 Jan 2019
“In issuing, the CAWN there was no evidence that his known vulnerability had been taken into account. A risk assessment had not been carried out.”
Original on judiciary.uk ↗ Natasha Hill · 1 May 2026
“Thought should be given to the creation of a young person's protection by way of creation of an extension to the CAWN for the young person, against the adult creating that safeguarding risk e.g. young person's abuse warning notice.”
Original on judiciary.uk ↗
Stated action
“The College is about to release updated APP on issuing CAWNs and this will reflect the need to carry outa risk assessment. There”
Stated action
“contained in College Investigations APP will be updated to reflect the requirement to keep both victims and suspects updated on progress of cases, including informing a suspect when an investigation about them has been concluded.”
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
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 Home Office 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 → 2026 | 0.67 | 0.16 | Closely related · 0.70 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
Next
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- Insufficient police resources to respond to critical calls2 reports · 2019–2025
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.