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recurance

Samuel Dickinson

10 Feb 2026 · Coroner Michael Pemberton · Manchester West

This report repeats 1 earlier warning. See the linked reports.

The coroner's concerns

  1. 1. failure to self-report health changes

    “Firearms Legislation relating to the holding of a shotgun or firearms licence (or both) contains no provision that a person holding a certificate must self report any illness or mental health condition which may give rise to a change in circumstances from the time when a grant of licence has been made”
  2. 2. failure to record licence on medical records

    “there is no obligation or provision requiring a General Practitioner practice to: a. Clearly record the holding of a licence on medical records when advised of the grant, in order to assist with flagging any relevant issues that may need reporting (such as conditions listed on an initial firearms/shotgun application form or renewal”
  3. 3. failure to report health issues to police

    “there is no obligation or provision requiring a General Practitioner practice to: a. Clearly”

Linked reports

Repeats an earlier warningHarold Ambrose25 Mar 2015 · 10 years 11 months earlier
Closely relatedConfidence 0.90 · high

Earlier report

“Although his mental health was clearly deteriorating neither the GP or NEPT referred this case to Essex Police Firearms Department.”
Original on judiciary.uk ↗

This report

“Firearms Legislation relating to the holding of a shotgun or firearms licence (or both) contains no provision that a person holding a certificate must self report any illness or mental health condition”
Full chain: Unflagged firearms licence holder with deteriorating mental health

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.

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