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recurance

Daniel Bowen

1 Feb 2017 · Coroner Veronica Hamilton-Deeley · West Sussex, Brighton and Hove

The coroner's concerns

  1. 1. academic advisor underutilisation

    “Academic Advisor - Better use should be made of the person in this post for each school. There was a wasted opportunity for the academic advisor to be involved in face to face meetings with [the deceased] and help him when he was struggling to get his work in on time and to deal with his academic pressures. In the circumstances I heard that if work was late a penalty would be imposed. This seems ridiculous; why hit a man when he is already down?”
  2. 2. communication breakdown

    “With regard to communication - this appeared to be deeply flawed amongst the huge number of University departments and units. The health clinic incorporating amongst other things a pharmacy and the counselling service, was excellent offering free access to students. The system failed - [the deceased] was not in the link between his GP/counsellor and the student support unit. If this link had been complete I do not believe [the deceased] would have died when he did.”

Responses

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  • Tavily follow-up web search
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  • 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.

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