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recurance

Missing person investigation lacks safe and well check

Closely relatedConfidence 0.85 · high2 reports · 2019–2024 One-page brief (print or PDF)

Metropolitan Police received 2 coroners' reports about this hazard between 15 Jan 2019 and 25 Oct 2024.

They came from 2 different coroners in 2 coroner areas. A similar concern was raised again 1 time after the first warning.

A published response was found for 1 of the 1 earlier reports, stating 1 specific action.

2
reports
2
different coroners
2019–2024
years
0.85
lowest link confidence

The story, report by report

Spacing grows with the time between reports.

  1. First warning

    Catherine Horton↗

    15 Jan 2019 · Sarah Ormond-Walshe · London (South)

    “There were multiple failures in the days leading up to Ms [name redacted] death. During the evidence it was made clear that a mistake was made in relation to closing a missing person investigation”
    Original on judiciary.uk ↗

    Metropolitan Police responded, stating 1 specific action.Response (PDF) ↗

    “The MPS has invested significantly in safeguarding focused police officer posts as part of the new BCU model, which has resulted in an increase of dedicated MPU officers.”
  2. 5 years 9 months later

    Raised again · 1st time

    Michael Crane↗

    25 Oct 2024 · Ian Potter · Inner North London

    Closely relatedConfidence 0.85 · higha different coroner
    “if Mr [name redacted] had been reported missing at the time he was in Charing Cross police station then there would have been more that officers could have done to keep him safe;”
    Original on judiciary.uk ↗

    Metropolitan Police responded.Response (PDF) ↗Response (PDF) ↗

  3. All reports to Metropolitan Police

Next

This shows that a similar concern was raised again after an earlier report. It does not say why, and it is not a finding about any organisation or person. To report an error, see the corrections route.

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error