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recurance

Samuel Carroll

27 Oct 2016 · Coroner Jon Heath · North Yorkshire (West)

The coroner's concerns

  1. 1. lack of consent to disclose suicidal ideation

    “The Police Officers did not ask Mr [name redacted] whether he wished, or consented to, anyone being told of the fact he was feeling suicidal or that he was being taken to the Hospital.”
  2. 2. lack of consent to disclose suicidal ideation

    “The Ambulance service did not ask Mr [name redacted] if he wished, or consented to, anyone being told of the fact he was feeling suicidal and being taken to Hospital.”
  3. 3. failure to alert family or friends

    “As a consequence no family or friends were alerted to Mr [name redacted] being taken to or discharged from Hospital following an earlier expression of suicidal ideation.”

Responses

2016-0384-Response-by-Yorkshire-Ambulance-Service.pdf ↗· Yorkshire Ambulance Service NHS Trust

Stated action

“I can confirm that whilst not formalised in any written process, it is standard practice amongst clinicians as part of any welfare assessment of the patient to ask if there is any family member that can be contacted.”
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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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Samuel Carroll · Recurance