Jacqueline Cobain
25 Mar 2024 · Coroner Michelle Haste · London Inner (South)
The coroner's concerns
1. lack of review of concerning questionnaire responses
“When Mrs [name redacted] cancelled her appointment scheduled for Monday 6 September 2021 by email on Saturday 4 September 2021, the system nevertheless generated an automatic questionnaire which is normally is sent 24 hours prior to a scheduled assessment appointment. The system had not recognised that Mrs [name redacted] had cancelled her appointment. She completed the questionnaire. Mrs [name redacted] responses to the questionnaire contained what were accepted to be concerning responses. Due to the cancellation the questionnaire”