Dana Baker
29 May 2014 · Coroner Geraint Williams · Worcestershire
The coroner's concerns
1. lack of knowledge and understanding between agencies
“lack of knowledge and understanding as between various agencies involved with [the deceased] and inadequate communication between them”
2. confidentiality of IMRs
“IMR's are kept confidential and not even shared as between Agencies concerned”
3. lack of awareness of other agencies' IMR content
“they could not comment on areas of "mutual concern" because they were unaware of the content of other Agency's IMR's”