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recurance

Lewis Francis

23 Mar 2020 · Coroner Nicholas Rheinberg · Exeter and Greater Devon

A similar concern from this report was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. no mechanism for ready transfer of police custody to medium secure mental health facility

    “At present there is no mechanism for the ready transfer of a person in police custody within the police areas of Devon and cornwall, Avon and somerset, wiltshire and Gloucestershire from police custody to a medium secure mental health facility for / assessment treatment under sections 2 and 3 of the Mental Health Act 1983 where such a person is suspected of or charged with a serious crime”
  2. 2. insufficient understanding of special needs and vulnerabilities of autistic prisoners

    “Evidence at the inquest suggested that there was an insufficient understanding of the special needs and vulnerabilities of those prisoners who are within the autistic spectrum”

Linked reports

Raised again laterBenjamin Compton19 Mar 2025 · 5 years later
Closely relatedConfidence 0.90 · high

This report

“Evidence at the inquest suggested that there was an insufficient understanding of the special needs and vulnerabilities of those prisoners who are within the autistic spectrum”

Later report

“The evidence reveals that there was a gap in the provision of care for individuals suffering with autism and in crisis, that remains the case today both in Devon and nationally.”
Original on judiciary.uk ↗
Full chain: Inadequate support for autistic prisoners in crisis

Responses

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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