“S are as follows: (brief summary of matters of concern) On 3 December 2020 Merseyside…”
Dated 20 Sep 2021, from the coroner for Liverpool and Wirral. 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
Deadline passedReplies were due by 15 Nov 2021. 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 dated20 Sep 2021
- Deadline15 Nov 2021
- Published on judiciary.uk23 Sep 2021
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Cheshire and Wirral Partnership NHS Foundation TrustNamed in the report as “Cheshire Wirral Partnership” | Response publishedPublished on judiciary.uk in September 2021. |
| Wirral University Teaching Hospital NHS Foundation TrustNamed in the report as “Wirral University Teaching Hospital” | Response publishedPublished on judiciary.uk in September 2021. |
| North West Ambulance Service NHS TrustNamed in the report as “North West Ambulance Service” | Deadline passedNo response published on judiciary.uk so far. The 56-day deadline was 15 Nov 2021. A reply may have been sent and not yet published. |
The coroner’s concerns
S are as follows: (brief summary of matters of concern) On 3 December 2020 Merseyside Police were called to Theo were it was apparent that he was suffering from poor mental health. An ambulance was called and Theo agreed to be taken to Arrowe Park Hospital. It is reported that whilst waiting for Triage that he left without being seen. Why was he not being looked after? And why was he left alone when waiting for assessment? 6 ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and I believe you (and/or your organisation) have the power to take such action. 7 YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report, namely by 15 November 2021. I, the coroner, may extend the period.
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, 2021-0314
- 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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