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Coroner’s reportPrevention of future deaths · 2013-0290

“At the time of arrest of Mr Cairns, the Police were aware of his assessment under Section…”

Dated 1 Nov 2013, from the coroner for Derby and Derbyshire. Sent to 5 organisations or people.

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

How this works

The 56-day response deadline

Deadline passed

Replies were due by 27 Dec 2013. A reply may have been sent and not yet published.

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.

  1. Report dated1 Nov 2013
  2. Deadline27 Dec 2013
  3. Published on judiciary.uk19 Dec 2013
  4. Today23 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
Derbyshire ConstabularyDeadline passedNo response published on judiciary.uk so far. The 56-day deadline was 27 Dec 2013. A reply may have been sent and not yet published.
Derbyshire Healthcare NHS Foundation TrustDeadline passedNo response published on judiciary.uk so far. The 56-day deadline was 27 Dec 2013. A reply may have been sent and not yet published.
Home OfficeDeadline passedNo response published on judiciary.uk so far. The 56-day deadline was 27 Dec 2013. A reply may have been sent and not yet published.
Department of Health and Social CareNamed in the report as “Department for Health and Social Care”Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 27 Dec 2013. A reply may have been sent and not yet published.
Association of Chief Police OfficersDeadline passedNo response published on judiciary.uk so far. The 56-day deadline was 27 Dec 2013. A reply may have been sent and not yet published.

The coroner’s concerns

– 1. At the time of arrest of Mr Cairns, the Police were aware of his assessment under Section 136 of the Mental Health Act the previous day. The Custody Nurse had contacted the Crisis Team to obtain information regarding the 136 assessment which was duly given by the Mental Health Team. However, there was no reciprocal exchange of information and the Mental Health Team were not informed that Mr Cairns had been arrested with regards to Threats to Kill his partner. 2. At the conclusion of the Inquest and after all the evidence was heard, it came to light that there was in existence a policy for mutual sharing of information between the Police and Mental Health Services if each respective organisation requested information from the other. 3. This document was not disclosed prior to the Inquest or during the Inquest itself and it would have been critical to ask witnesses from the Police and Mental Health Services about their knowledge of this document.

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, 2013-0290
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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