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Lucy Thornton

27 Jan 2026 · Coroner Jason Pegg · Hampshire, Portsmouth Southampton
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The coroner's concerns

  1. 1. Category 1 response delay for hanging

    “The procedures direct a Category 1 response (7 minutes) when the person has the means to suspend themselves and has stated that is there present intention”

  2. 2. Inadequate information gathering

    “The procedures direct that when the call handler does not have all relevant information they should telephone the person and ask questions in relation to the person's present situation”

  3. 3. Geographic misjudgment of response necessity

    “The call handler was on the Isle of Wight. THORNTON was in Southsea. The call handler did not call THORNTON as she felt she was too remote (geographically)”

Responses

2026-0040-Response-from-Isle-of-Wight-NHS-Trust.pdf ↗

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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