Lee Boden
29 Sept 2015 · Coroner Thomas Osborne · Milton Keynes
The coroner's concerns
1. risk of using heroin
“The sudden arrival at the hostel would have increased his risk of using heroin”
2. vulnerable resident
“Having just been released from prison and being unable to return to his home, he should have been recognised as a vulnerable resident”
3. lack of protocol for continuing monitoring of new arrivals
“There appears to be no protocol in place for continuing monitoring of new arrivals who remain vulnerable”