Home Office
Coroner Nadia Persaud · East London · in 2 recurrence links
Response · 1 stated action
2024-0409-Response-from-London-Borough-of-Redbridge.pdf ↗“The training for CCTV operators encompasses modules that cover behavioural body language training and are specifically designed to detect behaviours that would fall under the remit of 'suspicious'. The training is based on established principles and techniques outlined in Tavcom training programs - suspicious behaviours can include gestures, mannerisms, alone or in a group, time, location, how someone is acting (i.e. drunk/disorientated), approaching people, being aggressive etc. The training given”
Response · 1 stated action
2024-0409-Response-from-HMPPS-and-MoJ.pdf ↗“We accept that the Probation Delivery Unit (PDU) responsible for [name redacted] was understaffed at the time. Whilst at a national level, the staffing position of the Probation Service is improving, I acknowledge that raising staffing in this PDU to its full complement remains a significant challenge. Therefore, until such time as the situation improves, in this PDU and others with acute pressure remaining, staff will follow a Prioritisation Framework which we first implemented in January 2022”
Coroner James Bennett · Birmingham and Solihull · in 1 recurrence link
Response · 1 stated action
2024-0296-appendix-to-response-BSMHFT.pdf ↗“The policy describes the actions to be taken when a patient is missing or AWOL”
Response · 1 stated action
2024-0296-Response-from-BSMHFT.pdf ↗“The updated policy has included valued feedback from the inquest. I can inform you that the appendix C risk rating form that you saw at the inquest has been stepped down, due to emerging evidence in the area. The new version of Appendix C form is a decision recording form which also includes a section which sets out 'why the risk is considered to be present'. The form will be read out to the police in the recorded phone call and it will also be handed over to the police when they attend.”
Response · 1 stated action
2024-0296-Response-from-DHSC.pdf ↗“I will respond on these points in particular”
Response · 1 stated action
2024-0296-Response-from-APCC.pdf ↗“the APCC has developed guidance for members on the Right Care, Right Person approach. The guidance, which was launched in April 2024, strongly encourages PCC oversight of the planning and delivery of the Right Care, Right Person approach to ensure vulnerable people receive the right support from the right services.”
Coroner Nigel Parsley · Suffolk · in 1 recurrence link
Response · 1 stated action
2024-0295-Response-from-NSFT.pdf ↗“NSFT has asked all clinicians that receive referrals into services to identify those where treatments have been recommended by non-NSFT clinicians in order to offer an assessment prior to signposting elsewhere on the basis that: - there may be an alternative treatment available within NSFT services that is appropriate and could be offered, based on NSFT clinical assessment; and/or - if NSFT clinicians agree that a treatment not available within standard services is required and individual”
Response · 1 stated action
2024-0295-Response-from-SCC.pdf ↗“The SARP would like to explore the opportunities for a joined-up review process as part of this ongoing piece of work. An update regarding the proposal for a domestic homicide review is expected in September.”
Response · 1 stated action
2024-0295-Response-from-DHSC.pdf ↗“Norfolk and Suffolk NHS Foundation Trust has said in its response to you that it has asked all its clinicians that receive referrals into mental health services to identify those where treatments have been recommended by clinicians from outside the Trust in order to offer an assessment prior to any decision being made on the most appropriate way forward”
Coroner Alison Mutch · Manchester South · in 2 recurrence links
Response · 1 stated action
2024-0288-Response-from-DHSC.pdf ↗“The Trust recognises that, at the time of the incident the College did not have a clear written protocol in place to manage risk. As an educational establishment the College did not have plans or processes in place to communicate effectively with other teams within the Trust such as the clinical teams or externally to organisations such as the Probation Service about the risk of harm occurring to others. The College is bound by Trust policies in relation to safeguarding and the College team did”
Response · 1 stated action
2024-0288-Response-from-GMP.pdf ↗“the Head of Public Protection at Greater Manchester Police and the Head of Public Protection at Greater Manchester Probation service commenced monthly meetings in 2023.”
Response · 1 stated action
2024-0288-Response-from-HMPPS.pdf ↗“Steps have been taken to recruit and train further probation officers which provides some assistance but means that overall, a significant number of probation officers are young in service and experience”
- James Furlong, Joseph Ritchie-Bennett and David Wails: Prevention of future deaths report20 May 2024
Coroner Sir Adrian Fulford · Central Criminal Court
Coroner Catherine McKenna · Manchester North · in 1 recurrence link
Response · 1 stated action
2024-0223-NPCC.pdf ↗“In June 2023, wrote to all Chief Constables, highlighting the need for preparedness in addressing related challenges. Briefing materials were circulated to all UK police and regional suicide prevention leads.”
Coroner Kate Robertson · North West Wales
No published response from this organisation found.
Coroner Paul Rogers · Inner West London · in 4 recurrence links
Response · 1 stated action
2023-0534-Response-from-DHSCv2.pdf ↗“seeking to tackle at source the suppliers of harmful substances for the purposes of suicide”
Response · 1 stated action
2023-0534-Response-from-DSIT.pdf ↗“The act's illegal safety duties will apply to all in-scope 'user-to-user' services which allow users to post content online, or to interact with each other - including online forums. This means that once these duties are in force, they will be required to have systems and processes in place to proactively prevent users from encountering priority illegal content via their service and to minimise the length of time for which such content is present.”
Coroner Christopher Murray · Manchester South
No published response from this organisation found.
Coroner Samantha Marsh · Somerset
No published response from this organisation found.
Coroner Matthew Kewley · Derby and Derbyshire
No published response from this organisation found.
Coroner Jenny Goldring · Inner South London · in 1 recurrence link
Coroner Anton van Dellen · West London · in 2 recurrence links
Response · 1 stated action
2023-0362-Response-from-NHSE.pdf ↗“NHS England is the responsible organisation for the commissioning of healthcare into prisons, which is devolved to regional teams. Commissioning healthcare in prisons is done on a principle of equivalence, which has been defined by the Royal College of General Practitioners (RCGP) and has been adopted by the National Prison Partnership Board1. The definition broadly states the aim is to ensure people detained in prisons in England, are offered provision of and access to appropriate services and”
Coroner Kevin McLoughlin · West Yorkshire (Eastern) · in 1 recurrence link
No published response from this organisation found.
Coroner Mary Hassell · Inner North London · in 3 recurrence links
Response · 1 stated action
2023-0193-Response-from-Home-Office.pdf ↗“The Home Office has no authority to intervene in operational policing matters. I cannot comment on the action and decisions taken by police officers in the course of their duties because operational matters are the responsibility of the Chief Officer of the force concerned. However, my officials have consulted the MPS to gain assurance that the correct protocols are in place in order to prevent future incidents of this nature.”
Coroner Edward Ramsay · Swansea Neath Port Talbot
Coroner Ian Arrow · Plymouth, Torbay and South Devon · in 1 recurrence link
No published response from this organisation found.
Coroner Caroline Topping · Surrey
No published response from this organisation found.
Coroner Philip Barlow · Northamptonshire · in 2 recurrence links
No published response from this organisation found.
Coroner Louise Hunt · Birmingham and Solihull
No published response from this organisation found.
Coroner Sarah Bourke · Inner North London
Response · 1 stated action
2022-0326-Response-from-Lodon-Borough-of-Hackney.pdf ↗“The Council attaches a table in which it sets out, by column, its identification of what could be done better, learning from the circumstances of Mr [name redacted] death, the action it intends to take and the time-frame for that action.”
Coroner Stephen Nicholls · Dorset · in 1 recurrence link
No published response from this organisation found.
Coroner Lorraine Harris · East Riding and Hull · in 1 recurrence link
Response · 1 stated action
2022-0344-Response-from-Home-Office-1.pdf ↗“I will look to ensure that officials provide you with a full response by that date to the important issues which the Report raises.”
Response · 1 stated action
2022-0344-Response-from-Home-Office-2.pdf ↗“The government published the Domestic Abuse Act 2021 Statutory Guidance on 8 July 2022 to support with the understanding and implementation of the definitions of 'domestic abuse' and 'personally connected' as set out in the Domestic Abuse Act 2021.”
Coroner Lydia Brown · West London · in 1 recurrence link
No published response from this organisation found.
Coroner James Adeley · Lancashire & Blackburn with Darwen · in 2 recurrence links
No published response from this organisation found.