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Coroner’s reportPrevention of future deaths · 2024-0671

“National Police Air Service 1”

Dated 5 Dec 2024, from the coroner for East London. Sent to 4 organisations or people.

A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.

Read the full report on judiciary.uk

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The 56-day response deadline

All responses published

Replies were due by 30 Jan 2025.

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.

  1. Report dated5 Dec 2024
  2. Deadline30 Jan 2025
  3. Published on judiciary.uk6 Dec 2024
  4. Today23 Oct 2026

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Responses from each recipient

The coroner’s concerns

– National Police Air Service 1. NPAS helicopter resources were utilised in the search for Mazeedat on 29th January 2022. At 16.40, a small circular heat signature was observed by a tactical flight officer within the garden where Mazeedat’s body was ultimately located. The shape and size of the object meant that the object was “discounted” in the search and its presence was not communicated to anyone. Mazeedat was discovered 11 minutes later by a police dog unit on the ground. Whereas the delay in locating Mazeedat did not contribute to her tragic death, the decision to discount such a heat signature could, in another case, amount to a risk of fatal harm. London Borough of Newham 2. The Adeoye family interactions with the local authority, child services team were characterised by unprofessional behaviour from social workers. A culture existed within the team that tolerated and therefore encouraged overtly antagonistic behaviour towards vulnerable people. Should this hostile environment continue to be enabled, sub-optimal care outcomes will result with an ongoing risk of fatal harm. 3. The NRPF team was poorly managed. Social workers were not adequately supervised, and their caseloads were not periodically reviewed. The absence of leadership allowed a gradual erosion of empathy for the very people the team were employed to support. The absence of proper management left inappropriate behaviour unconstrained and allowed irrational decisions made arbitrarily by junior staff, to stand unchecked. 4. Inadequate standards of note-keeping meant that the rationale for critical decisions made by the NRPF were not properly recorded. The absence of clear records diminished both communication within the team and accountability.

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, 2024-0671
Added to Minute Book
8 Oct 2026
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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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