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recurance

Rachel Mortimer

20 Jan 2024 · Coroner Marilyn Whittle · South Yorkshire West

The coroner's concerns

  1. 1. lack of advice and services for family safety concerns

    “Following concerned calls by family no advice was provided on what options were available to them if they were concerned for their family members safety and no provision of services that could be called to discuss her mental state”
  2. 2. unmitigated emotional dysregulation risk

    “Despite identifying the risk of emotional dysregulation and that BSARCS would mitigate this risk. When IHCBTT were informed BSARC was not available no further consideration was given to any other service to minimise the risk”

Responses

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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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