Neil Woodley
23 Jul 2024 · Coroner Jonathan Landau · South London
This report repeats 1 earlier warning, and was raised again 1 time later. See the linked reports.
The coroner's concerns
1. communication failures leading to delayed welfare checks
“failures in communication could result in avoidable fatalities in future cases”
Linked reports
Closely relatedConfidence 0.90 · high
Earlier report
“reports made to Surrey Police concerning the perpetrator's conduct were incorrectly passed to the Metropolitan Police, and without sufficient information first being adduced and risk assessed.”
This report
“They were told that the reason for the delay was confusion between Surrey Police and the Metropolitan Police.”
Closely relatedConfidence 0.85 · high
This report
“They were told that the reason for the delay was confusion between Surrey Police and the Metropolitan Police.”
Later report
“It is hard to understand the decision (made by more than one police caller) not to leave any voicemail/message.”
Responses
2024-0414-Response-from-Metropolitan-Police.pdf ↗· Metropolitan Police Service
2024-0414-Response-from-Surrey-Police.pdf ↗· Surrey Police
Stated action
“I will ensure that appropriate actions are identified and completed to ensure that any communications of this nature are promptly escalated in the future.”