“Whether or not more should have been done to make contact with the patient between 10"…”
Dated 19 Aug 2016, from the coroner for City of 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.
The 56-day response deadline
Deadline passedReplies were due by 14 Oct 2016. 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.
- Report dated19 Aug 2016
- Deadline14 Oct 2016
- Published on judiciary.uk19 Aug 2016
- Today27 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Hertfordshire Partnership University NHS Foundation Trust | Response published, not yet matchedA response is published with this report. We haven’t yet matched it to the organisation it’s from, so it may be this one’s. |
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The coroner’s concerns
This report was published as a scan, so its text was read automatically. Check the wording against the original before you quote it.
— Whether or not more should have been done to make contact with the patient between 10" March and 12" May given the nature of his illness and the fact of his non-compliance with follow up. Such consideration is relevant to a Coroner's duty in connection with the prevention of future deaths _City of London Coroner's Court, Walbrook Wharf, 78-83 Upper Thames Street, London, EC4R 3TD Tel 020 7332 1598 | Fax 020 7332 1800 ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and | believe you Mr Tom Cahill have the power to take such action.
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
- Added to Minute Book
- 8 Oct 2026
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- We show short extracts and link to the original. We don’t host the full report.
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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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