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recurance

John Sloan

12 Feb 2018 · Coroner Christopher Williams · London Inner (South)

The coroner's concerns

  1. 1. lack of suicide risk assessment

    “the deceased was not asked whether he was experiencing suicidal ideas or had suicide plans”
  2. 2. failure to document family concerns

    “failure to record the concerns of Mr [name redacted] daughter was a fundamental! omission which also represented a missed opportunity to put in place supportive measures”

Responses

No published response was found on judiciary.uk.

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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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John Sloan · Recurance