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recurance

Anthony Card

7 Nov 2025 · Coroner Peter Taheri · Suffolk

The coroner's concerns

  1. 1. lack of mechanism to share risk information

    “Outside of situations where section 42 of the Care Act 2014 applies, there appears to be no mechanism available to enable front-line police officers who wish, of their own volition and with the subject's consent, to communicate risk information, arising out of an interaction with an adult at Medium risk to self from mental ill-health, to medical or mental health care providers, whom may be the right person or agencies to provide support in the medium term.”
  2. 2. risk information not received by medical or mental health care providers

    “The information that an individual has, for example, been reported as presenting in such a way that police have had to consider detaining them under section 136 of the Mental Health Act 1983 could be important risk information that would assist medical or mental health care providers.”
  3. 3. adverse decision-making due to missing risk information

    “Not having this risk information available in future assessments may adversely affect decision-making - e.g., not having this information available could contribute to a decision not to admit compulsorily the patient for mental health care if they were to present again in, say, one week from the police interaction.”

Responses

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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Anthony Card · Recurance