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recurance

Lack of independence leads to non-disclosure fears

Closely relatedConfidence 0.92 · high2 reports · 2021–2024 One-page brief (print or PDF)

Ministry of Defence received 2 coroners' reports about this hazard between 6 Dec 2021 and 29 Nov 2024.

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
2021–2024
years
0.92
lowest link confidence

The story, report by report

Spacing grows with the time between reports.

  1. First warning

    Alexander Tostevin↗

    6 Dec 2021 · Brendan Allen · Dorset

    “The medical care provided to service personnel through the DCMH is not truly independent, in that personal medical information may be disclosed to Chain of Command where substantial public interest demands disclosure”
    Original on judiciary.uk ↗

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

    “case. I will address each area in turn. Disclosure of information between DCMH and the Chain of Command. DCMH operates as an independent organisation, which sits within Defence Primary Healthcare (DPHC), a Tri-Service organisation in UK Strategic Command. Although military DCMH staff2 are drawn from the medical services of the Royal Navy (RN), Army and Royal Air Force (RAF), DCMH is independent of all three Service chains of command. Mental health services play a vital Occupational Health role in”
  2. 3 years later

    Raised again · 1st time

    Charlie Owen↗

    29 Nov 2024 · Robert Simpson · Berkshire

    Closely relatedConfidence 0.92 · higha different coroner
    “I was concerned to hear that when a risk management and safety plan has been prepared by the Defence mental health services the information contained about relevant protective factors and safety actions is not necessarily shared with the Chain of Command.”
    Original on judiciary.uk ↗

    Repeated from the earlier report:informationChainCommand

    Ministry of Defence responded.Response (PDF) ↗

  3. All reports to Ministry of Defence

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