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recurance

Catherine Horton

15 Jan 2019 · Coroner Sarah Ormond-Walshe · London (South)

A similar concern from this report was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. closed missing person investigation without safe and well check

    “multiple failures in the days leading up to Ms [name redacted] death”

Linked reports

Raised again laterMichael Crane25 Oct 2024 · 5 years 9 months later
Closely relatedConfidence 0.85 · high

This report

“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 report

“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;”
Original on judiciary.uk ↗
Full chain: Missing person investigation lacks safe and well check

Responses

2019-0143-Response-by-Metropolitan-Police.pdf ↗· Metropolitan Police

Stated action

“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.”
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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.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error