“are as follaws”
Dated 28 May 2017, from the coroner for Inner South London. Sent to 3 organisations or people.
A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.
The 56-day response deadline
Report put online after its 56 daysOrganisations 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.
judiciary.uk put this report online on 4 Aug 2017, after the 56 days for replies had ended (23 Jul 2017). These dates can’t tell us whether a reply was due before it went online. A reply may have been sent and not yet published.
- Report dated28 May 2017
- Deadline23 Jul 2017
- Published on judiciary.uk4 Aug 2017
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| South London and Maudsley NHS Foundation TrustNamed in the report as “South London and Maudsley NHS Trust” | Report put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 4 Aug 2017, after the 56 days for replies had ended (23 Jul 2017). These dates can’t tell us whether a reply was due before it went online. |
| King's College Hospital NHS Foundation TrustNamed in the report as “Kings College Hospital” | Response publishedPublished on judiciary.uk in August 2017. |
| Department of Health and Social Care | Report put online after its 56 daysNo response published on judiciary.uk. judiciary.uk put this report online on 4 Aug 2017, after the 56 days for replies had ended (23 Jul 2017). These dates can’t tell us whether a reply was due before it went online. |
Some responses were published as scans, so their text was read automatically. Check the wording against the original before you quote it.
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.
are as follaws. — Whilst understanding and appreciating that dealing with anxiety and alcohal dependence can be difficull, and taking into account the issue of resources, | would ask that the reliance upon an individual to proactively manage their rehabilitation be reviewed and re-assessed. Issues concerning the younger generation and alcohol are increasing and with the risk of relapse being potentially higher in the time soon after discharge | would ask that the following be reviewed: (1) whether, upon discharge after detoxification, individuals ought, in addition to receiving information regarding access to Lorraine Hewitt House Aftercare Programme and signposting them to a drop in clinic, to be provided with a fixed appointment; (2) whether telephone contact should also be made with an individual between discharge and first appointment review; (3) whether there is a need to increase the availability of an alcohol liaison nurse currently provided between the hours of 0900-1700,Monday to Friday, at the hospital for the individual to access, given they have met that person whilst an in-patient.
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, 2017-0172
- Added to Minute Book
- 8 Oct 2026
- Reuse
- 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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