Skip to content
recurance

Andrew Frere

8 Sept 2015 · Coroner Neil Cameron · South Yorkshire (East)

The coroner's concerns

  1. 1. lack of medical observation leading to self-harm

    “prisoners under continuous observation should be seen by a doctor very 24 hours”
  2. 2. information not reviewed at ACCT review causing missed risk

    “review, should ensure that they read the ongoing observations, at least as far back as the previous review”

Responses

No published response was found on judiciary.uk.

  • Built with
  • NVIDIA Nemotron Nano, Super and Ultra
  • Nebius Token Factory inference
  • Qwen3 Embedding 8B on Token Factory
  • Tavily follow-up web search
  • Postgres and pgvector search
  • Next.js site

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