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recurance

Shelemiah Peterkin

20 Jun 2024 · Coroner Adam Hodson · Birmingham and Solihull

The coroner's concerns

  1. 1. delay in referral to Home Treatment Team

    “I heard evidence that there was a 6-day delay in the Community Mental Health Team team making a referral to the Home Treatment Team which was put down”
  2. 2. incomplete early warning signs

    “I heard evidence from the Structured Judgment Review that a learning point was identified that early warning signs were not completed to the required expectation or standard”

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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Shelemiah Peterkin · Recurance