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recurance

Stuart Fowkes

20 Oct 2025 · Coroner Joanne Lees · The Black Country

The coroner's concerns

  1. 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. 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. 3. risk to life

    “DCP had recorded a known risk to Mr [name redacted] life”
  4. 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. 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. 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”

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