Recurance · prevention of future deaths reports
Pre-inquest brief
Missing person risk assessment not provided
The earlier warning
Leroy Hamilton · 11 Jan 2023 · Louise Hunt, Birmingham and Solihull
“on 2 occasions (03/12/21 and 07/12/21) there was a failure to treat Mr [name redacted] as a missing person when he was reported as missing.”
judiciary.uk/…/leroy-hamilton-prevention-of-future-deaths-report
What was promised
Stated action 1 · response to Leroy Hamilton (11 Jan 2023) · stated timescale: none stated
“WMP is currently setting up a working group with key partner agencies, including mental health agencies and professionals, to discuss and design a joint missing person protocol”
judiciary.uk/…/2023-0013-Response-from-West-Midlands-Police-.pdf
What recurred
- 3 Jun 2024 · Tcherno Bari · James Bennett · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Leroy Hamilton · 11 Jan 2023
“on 2 occasions (03/12/21 and 07/12/21) there was a failure to treat Mr [name redacted] as a missing person when he was reported as missing.”
Later · Tcherno Bari · 3 Jun 2024
“I am not reassured BSMHFT staff are handing attending police officers 'appendix C - risk rating' as required by their missing person policy.”
What happened next
No web check of the stated actions has been published for this chain.