“It appears that the police Safeguarding team have no established links with NHS MH team…”
Dated 10 Feb 2020, from the coroner for Inner South London. 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 6 Apr 2020. 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 dated10 Feb 2020
- Deadline6 Apr 2020
- Published on judiciary.uk18 Mar 2020
- Today24 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 Foundation” | Response publishedPublished on judiciary.uk in March 2020. |
| Metropolitan Police service | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 6 Apr 2020. A reply may have been sent and not yet published. |
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.
- It appears that the police Safeguarding team have no established links with NHS MH team and that referral to a Crisis Resolution and Home Treatment Team depends on an officer recognising the need was urgent, which may be a difficult judgment for officers, without professional mental health advice.
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, 2020-0055
- 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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