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recurance

Zahra Mohamed

18 Feb 2025 · Coroner Sarah Bourke · Inner North London

A similar concern from this report was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. delay in obtaining s135(2) warrant

    “It was accepted that a s135(2) warrant should have been applied for on 4 October 2022. However, if an application had been submitted to the magistrates' court that day, it is unlikely that the warrant would have been executed before Mrs [name redacted] death. In evidence, I was informed by a number of mental health professionals that the time taken for a s135(2) warrant to be obtained from the magistrates' court and executed by the police was in the region of 2 weeks.”
  2. 2. procedural delay in warrant issuance

    “The process for obtaining a warrant is that an application has to be made for a video hearing at either Uxbridge or Westminster Magistrates' Courts. It could take several days for a hearing to be arranged as the courts consider applications from all 32 London Boroughs. Once the Magistrates issued a warrant, an appointment would then be arranged for the police to execute the warrant.”
  3. 3. ongoing 2-week delay in warrant issuance

    “I was informed that a 2-week timescale for obtaining s135(2) warrants was still the case in the summer of 2024.”
  4. 4. discouragement of urgent in-person applications

    “I also heard evidence that the mental health team could attend Highbury Corner Magistrates' Court in person to apply for a warrant in urgent cases but that they were actively discouraged from using this process by the court.”
  5. 5. encouragement of voluntary return instead of warrant

    “The court heard that the process and timescale for issuing and executing warrants had led to the hospital team adopting a practice of asking the community team to encourage a patient to return to hospital voluntarily before making an application for a warrant.”
  6. 6. risk of self-harm or fatal harm before warrant execution

    “There is an ongoing risk that patients will harm themselves or others in the period before the warrant can be executed. This includes a risk of fatal harm.”

Linked reports

Raised again laterEdward Muwanga24 Apr 2026 · 1 year 2 months later
Closely relatedConfidence 0.92 · high

This report

“if an application had been submitted to the magistrates' court that day, it is unlikely that the warrant would have been executed before Mrs [name redacted] death. In evidence, I was informed by a number of mental health professionals that the time taken for a s135(2) warrant to be obtained from the magistrates' court and executed by the police was in the region of 2 weeks.”

Later report

“A lack of awareness by the two less experienced officers about the process under section 135 MHA 1980, and a lack of inquiry by the more experienced officer as to the existence of such a warrant, together with a concern that it was not clear from the evidence where information about the warrant could be obtained by officers.”
Original on judiciary.uk ↗
Full chain: Delay in obtaining and executing s135 warrants

Responses

2025-0098-Response-from-HMCTS.pdf ↗· Metropolitan Police

Stated action

“HMCTS disputes the evidence presented to the Inquest that a 2-week timescale applied to obtaining a slot for a wa”

2025-0098-Response-from-MPS.pdf ↗· Metropolitan Police

Stated action · 17th November 2022

“The MPS will now request a weekly Community Consultation Meeting between AMHPs, MH policing teams, Neighbourhood policing teams, Crisis Teams, and Home Treatment Teams (HTT) to discuss those people who may be reaching the threshold for an assessment/S135 warrant application.”
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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

Zahra Mohamed · Recurance