Recurance · prevention of future deaths reports
Pre-inquest brief
Missing person investigation lacks safe and well check
The earlier warning
Catherine Horton · 15 Jan 2019 · Sarah Ormond-Walshe, London (South)
“There were multiple failures in the days leading up to Ms [name redacted] death. During the evidence it was made clear that a mistake was made in relation to closing a missing person investigation”
judiciary.uk/prevention-of-future-death-reports/catherine-horton
What was promised
Stated action 1 · response to Catherine Horton (15 Jan 2019) · stated timescale: none stated
“The MPS has invested significantly in safeguarding focused police officer posts as part of the new BCU model, which has resulted in an increase of dedicated MPU officers.”
judiciary.uk/…/2019-0143-Response-by-Metropolitan-Police.pdf
What recurred
- 25 Oct 2024 · Michael Crane · Ian Potter · Closely related · confidence 0.85 (high)
The clearest link, quoted from both reports:
Earlier · Catherine Horton · 15 Jan 2019
“There were multiple failures in the days leading up to Ms [name redacted] death. During the evidence it was made clear that a mistake was made in relation to closing a missing person investigation”
Later · Michael Crane · 25 Oct 2024
“if Mr [name redacted] had been reported missing at the time he was in Charing Cross police station then there would have been more that officers could have done to keep him safe;”
What happened next
No web check of the stated actions has been published for this chain.