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recurance

Fishmongers' Hall Inquests

3 Nov 2021 · Coroner HH Judge Lucraft QC · London City

The coroner's concerns

  1. 1. risk of future deaths

    “In my opinion, there are risks that future deaths could occur unless action is taken to address those matters.”
  2. 2. lack of safe management of rehabilitation programmes

    “programmes such as Learning Together can help to move people away from offending behaviour and give them a sense of belonging to an academic community”
  3. 3. risk to public safety from inadequate offender rehabilitation

    “The education and rehabilitation of offenders are aims which I very strongly support”

Responses

2021-0362-Response-from-MoJ_Published.pdf ↗· West Midlands Police

Stated action · January 2022

“We accept this recommendation. - Following the events at Fishmongers' Hall all activity with Learning Together was paused. - Ahead of any decision to restart we are designing a new framework to clearly define the roles and responsibilities of prisons and universities when they work in partnership to deliver learning where students study alongside serving prisoners or those released on licence. This will include guidance setting out the responsibility for risk assessment and the circumstances in”

Stated action · April 2022

“- We accept option (b) of this recommendation. - We have reviewed best practice relating to the delivery of ERGs in the community. We agree that forensic psychologists should be directly involved in every ERG assessment carried out in the community. - The optimal delivery model is one that makes best use of both forensic psychologists, who have expertise in structured professional judgement and risk assessment tools, and CT probation specialists, who have expertise in the management of”

Stated action · April 2022

“We accept this recommendation. - Psychologists are routinely attending MAPPA meetings to present their report where invited. - We will update the MAPPA statutory guidance by April 2022, to make it a requirement that psychologists attend MAPPA meetings - and, specifically, to require them to be invited to present their ERG assessment to the MAPPA meeting.”
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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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