Skip to content
recurance

Noleen McPharlane

7 Aug 2014 · Coroner ME Hassell · London North (Inner)

The coroner's concerns

  1. 1. lack of direct inquiry about suicidal thoughts

    “Ms [name redacted] had a long history of overdoses and self inflicted wounds, her last admission to hospital for treatment for the consequent physical injuries being in May 2013. However, in the year following that until her death, the clinical specialist who looked after never once asked her directly if she had thoughts of taking her life”

Responses

2014-0370-Response-by-Camden-Islington-NHS.pdf ↗· Camden and Islington NHS Foundation Trust

Stated action · September 2014

“The Trust has a clinical risk assessment and management policy in place. It has been reviewed and updated in September 2014 and is currently being consulted upon.”
  • Built with
  • NVIDIA Nemotron Nano, Super and Ultra
  • Nebius Token Factory inference
  • Qwen3 Embedding 8B on Token Factory
  • Tavily follow-up web search
  • Postgres and pgvector search
  • Next.js site

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

Noleen McPharlane · Recurance