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2023-0234

5 Jul 2023 · Coroner Mary Hassell · Inner North London
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The coroner's concerns

  1. 1. delayed CPR initiation

    “The police officers who attended [REDACTED] acted quickly. They: - restrained him carefully and safely; - sought to protect his airway; - supported his head; - recognised a medical emergency and potential ABD; - requested an ambulance; - looked for a defibrillator; - responded to an emerging situation and continued to monitor; - moved [REDACTED] to a better location; - sought additional information that might be of assistance in the resuscitation by running a police national computer (PNC) check”

  2. 2. lack of proactive secondary monitoring

    “Whilst the officers worked well as a team in many respects, it seemed to me that there could have been more focus on pro- active support from those not directly monitoring [REDACTED] vital signs”

Responses

2023-0234-Response-from-Metropolitan-Police.pdf ↗

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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