Recurance · prevention of future deaths reports
Pre-inquest brief
Delayed community offender manager engagement before release
The earlier warning
Manoel Santos · 3 Oct 2023 · Jenny Goldring, Inner South London
“In Mr [name redacted]' case there were delays by probation in allocating a community offender manager and providing an up-to-date OASYS report.”
judiciary.uk/…/manoel-santos-prevention-of-future-deaths-report
What was promised
A published response was found, but no specific action could be extracted with a verified quote.
What recurred
- 27 Jan 2025 · William Bissett · Nicholas Rheinberg · Closely related · confidence 0.80 (moderate)
The clearest link, quoted from both reports:
Earlier · Manoel Santos · 3 Oct 2023
“In Mr [name redacted]' case there were delays by probation in allocating a community offender manager and providing an up-to-date OASYS report.”
Later · William Bissett · 27 Jan 2025
“Mr [name redacted] a man aged 88 in failing health only saw his Community Offender Manager on 5th October 2023, 8 days before his release.”
What happened next
No web check of the stated actions has been published for this chain.