Narjit Gill
9 Feb 2024 · Coroner Deborah Lakin · Coventry and Warwickshire
The coroner's concerns
1. unremoved ligature material
“Failure to remove [REDACTED] when it was seen on 3 May 2023 by mental health practitioners who visited Mr [name redacted] at his home, in light of his continued expression of suicidal ideation.”
Responses
2024-0071-Response-from-Coventry-and-Warwickshire-Partnership-NHS-Trust.pdf ↗· Coventry and Warwickshire Partnership NHS Trust
Stated action
“we have recently updated our information packs focussed on 'Suicide Prevention: Red Flags". This work is presented as a poster and a screen saver and highlights significant events which can contribute to a change in a person's needs. The React, Engage, Discuss (RED) flags cover emotional, physical, relationship, financial and social factors as well as drawing attention to risk assessment and helpful phone numbers.”
2024-0071-Response-from-Department-of-Health-and-Social-Care.pdf ↗· Department of Health and Social Care
2024-0071-Response-from-Warwickshire-Police.pdf ↗· Warwickshire Police