“Marcus was in a position where he was getting support with his drug dependency from the…”
Dated 7 Jun 2018, from the coroner for Isles of Scilly. Sent to 2 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
Deadline passedReplies were due by 2 Aug 2018. 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 dated7 Jun 2018
- Deadline2 Aug 2018
- Published on judiciary.uk8 Jul 2018
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| NHS Kernow Clinical Commissioning Group | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 2 Aug 2018. A reply may have been sent and not yet published. |
| Cornwall Partnership NHS Foundation TrustNamed in the report as “Cornwall NHS Trust” | Response publishedPublished on judiciary.uk in July 2018. |
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.
— (1) Marcus was in a position where he was getting support with his drug dependency from the drug and alcohol team but was not able to access support for the mental health issues which were associated with the drug dependency. (2) The approach to cases of dual diagnosis, that substance misuse should be addressed before any mental health treatment could proceed. (3) The discharge from CMHT on failing to attend two appointments.
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, 2018-0173
- 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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