Stuart Fowkes
20 Oct 2025 · Coroner Joanne Lees · The Black Country
The coroner's concerns
1. risk of suicide
“DCP had a recorded log entry ref [REDACTED] of a domestic and suicidal report made to DCP by Mr [name redacted] on 26/5/25 timed at 00:52”
2. risk of suicide
“DCP recorded a second reference to Mr [name redacted] being suicidal under the same Reference [REDACTED] at 00:56 and 01:17 including further information that Mr [name redacted] is suicidal and that his father committed suicide 8 years ago in Birmingham”
3. risk to life
“DCP had recorded a known risk to Mr [name redacted] life”
4. risk of suicide
“DCP appear to have been aware of Mr [name redacted] risk of suicide in the early hours of 26 May 2025”
5. lack of risk communication
“WMP conducted an internal investigation which revealed that no risk to Mr [name redacted] life was shared with West Midlands Police by Devon and Cornwall Police”
6. misinformation leading to missed intervention
“WMP reported that based on information from DCP, Mr [name redacted] was wanted for drink driving and domestic abuse offences”