Recurance · prevention of future deaths reports
Pre-inquest brief
Restricted smoking options increase self-harm risk
The earlier warning
David Squire · 25 Jan 2019 · Emma Serrano, Black Country
“This guidance does not permit the proper use of Section 17 leave.”
judiciary.uk/prevention-of-future-death-reports/david-squire
What was promised
A published response was found, but no specific action could be extracted with a verified quote.
What recurred
- 22 Nov 2024 · Nicolette McCarthy · Michael Spencer · Closely related · confidence 0.80 (moderate)
The clearest link, quoted from both reports:
Earlier · David Squire · 25 Jan 2019
“This guidance does not permit the proper use of Section 17 leave.”
Later · Nicolette McCarthy · 22 Nov 2024
“the NHS England smoke free policy is placing mental health in patients at an increased risk from self-harm and suicide”
What happened next
No web check of the stated actions has been published for this chain.