“Failure to remove when it was seen on 3 May 2023 by mental health practitioners who…”
Dated 9 Feb 2024, from the coroner for Coventry and Warwickshire. 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
All responses publishedReplies were due by 5 Apr 2024.
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; a reply may have been sent and not yet published.
- Report dated9 Feb 2024
- Deadline5 Apr 2024
- Published on judiciary.uk21 Feb 2024
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| Coventry and Warwickshire Partnership NHS TrustNamed in the report as “Coventry and Warwickshire NHS Partnership Trust” | Response publishedPublished on judiciary.uk in February 2024. |
| Department of Health and Social Care | Response publishedPublished on judiciary.uk in February 2024. |
| Warwickshire Police | Response publishedPublished on judiciary.uk in February 2024. |
The coroner’s concerns
– (1) Failure to remove when it was seen on 3 May 2023 by mental health practitioners who visited Mr Gill at his home, in light of his continued expression of suicidal ideation.
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, 2024-0071
- 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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