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Coroner’s reportPrevention of future deaths · 2026-0133

“That the initial assessment for Mr Blackman by the District Nurses did not record his…”

Dated 6 Mar 2026, from the coroner for North London. Sent to 1 organisation or person.

A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.

Read the full report on judiciary.uk

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The 56-day response deadline

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Replies were due by 1 May 2026.

Organisations that receive a report must reply to the coroner within 56 days, saying what they will do or why they will do nothing. We show whether a response is published on judiciary.uk; a reply may have been sent and not yet published.

  1. Report dated6 Mar 2026
  2. Deadline1 May 2026
  3. Published on judiciary.uk10 Mar 2026
  4. Today23 Oct 2026

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The coroner’s concerns

– That the initial assessment for Mr Blackman by the District Nurses did not record his next of kin details or what to do should the district nurse not be able to gain access. The policy following no access did not take into account the need for police involvement where the life of the patient may be at risk through non access. 1

An extract. Read the full report, including the circumstances of the death, on the Courts and Tribunals Judiciary website.

Source
judiciary.uk, Prevention of Future Deaths reports, 2026-0133
Added to Minute Book
8 Oct 2026
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Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0

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