Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of shared welfare check guidance
The earlier warning
Anne Wilson · 21 Jul 2015 · Sonia Hayes, London (South)
“The MPS and the London Ambulance Service (LAS) have joint working arrangements however the changes made concerning the future handling of welfare checks was not shared with the LAS at that time.”
What was promised
Stated action 1 · response to Anne Wilson (21 Jul 2015) · stated timescale: end of September 2015
“a Control Services Bulletin will be issued at the 15/89/2015 15:56 62077832889 LAS_LEGAL | PAGE 63/83 end of September 2015 about the MPS welfare checks policy to mitigate the risk of a call to a vulnerable patient being closed prior to assessment by a clinician.”
judiciary.uk/…/2015-0293-Response-by-London-Ambulance-Service-N…
What recurred
- 28 Sept 2021 · Richard Boateng · Jonathan Landau · Closely related · confidence 0.80 (moderate)
The clearest link, quoted from both reports:
Earlier · Anne Wilson · 21 Jul 2015
“The MPS and the London Ambulance Service (LAS) have joint working arrangements however the changes made concerning the future handling of welfare checks was not shared with the LAS at that time.”
Later · Richard Boateng · 28 Sept 2021
“The LAS quality manager accepted in evidence that it would have been better to have taken her number and to pass it on to the police to make contact.”
What happened next
No web check of the stated actions has been published for this chain.