Frank Ospina
25 Oct 2024 · Coroner Lydia Brown · West London
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. lack of R35 report for suicidal detainee
“During the inquest evidence was heard about the use of Detention services order 09/2016 Detention centre rule 35 (2)”
2. closed visit without proper access
“Visits. The inquest was advised that [the deceased]'s mother visited him in the Heathrow Immigration Removal Centre on one occasion, and that was conducted as a”
3. language barrier in visit booking
“Frank's mother does not speak English and found it very difficult to arrange a visit”
Linked reports
Closely relatedConfidence 0.90 · high
Earlier report
“they had received training and were told not to make a report under Rule 35(2) of the Detention Centre Rules (SI 2001/238) but instead to use the ACDT procedures to monitor suicidal tendencies.”
This report
“Despite [the deceased] being witnessed as having made an attempt to take his life, and self- reporting a further attempt during his detention, no R35 report was made.”