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recurance

Prince Fosu

6 Jul 2020 · Coroner Chinyere Inyama · West London

The coroner's concerns

  1. 1. failure to refer cases to healthcare

    “All staff who would be expected to refer cases to healthcare need as much assistance as possible in order to discharge that responsibility effectively”
  2. 2. inadequate reporting of detainee concerns to healthcare managers

    “The current practise remains to refer concerns around detainees only to the Home Office contract monitor”

Responses

2020-0148-Response-from-Central-and-North-West-London-NHS-Foundation-Trust.pdf ↗· Central and North West London NHS Foundation Trust

Stated action · by the end of November 2020

“The Trust should give serious consideration to developing a guide to all staff on when to refer cases to healthcare. This should be achievable without being either over-prescriptive or over-restrictive.”
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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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Prince Fosu · Recurance