Alex Malcolm
15 Oct 2019 · Coroner Andrew Harris · London Inner (South)
This report repeats 1 earlier warning, and was raised again 2 times later. See the linked reports.
The coroner's concerns
1. lack of Approved Premises places
“providing more Approved Premises places would potentially save lives”
2. domestic violence not addressed through statutory MARACs
“strengthening any arrangements around domestic violence, including putting MARACs on a statutory basis had the potential to save lives”
3. probation officer staffing shortages
“there were still difficulties in recruitment and retention of probation officers, one factor in which was low pay”
Linked reports
Identical hazardConfidence 0.90 · high
Earlier report
“Offender 3 a high risk offender should never have been referred to or admitted to supported living accommodation (upon his release from prison), the only suitable accommodation where the risks that he posed could be appropriately manged being Approved Premises.”
This report
“Asenior NPS divisional head said that providing more Approved Premises places would potentially save lives.”
Closely relatedConfidence 0.85 · high
This report
“Asenior NPS divisional head said that there were still difficulties in recruitment and retention of probation officers, one factor in which was low pay.”
Later report
“The inquest heard evidence that the probation staff were carrying significant caseloads. This was due to challenges in recruiting sufficient staff.”
Closely relatedConfidence 0.80 · moderate
This report
“there were still difficulties in recruitment and retention of probation officers, one factor in which was low pay”
Later report
“The probation delivery unit responsible for the offender was understaffed at the time of relevant oversight.”
Responses
2019-0344-Response-by-HM-Prison-and-Probation-Service.pdf ↗· His Majesty's Prison and Probation Service