Skip to content
recurance

Shaun Hall

30 Jan 2025 · Coroner Anne Pember · Northamptonshire

The coroner's concerns

  1. 1. referral declined

    “The assessment from Talking Therapies on 20 November 2023 identified current escalating factors around not being allowed to see his children, and an upcoming court case in relation to this on 14 December 2023. Indeed he stated that if he was not allowed to see his children he would take his own life. Despite all this information being available the Urgent Care and Assessment Team did not accept the referral.”
  2. 2. lack of accountability

    “the identity of the person at the Urgent Care and Assessment Team who declined the referral is not known and no notes were made of the referral”
  3. 3. suicide

    “My conclusion was suicide”

Responses

  • 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