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recurance

Olayemi Kehinde

24 Apr 2024 · Coroner Graeme Irvine · East London

The coroner's concerns

  1. 1. lack of supervision of S.17 leave

    “In July 2011, Mr [name redacted] was an inpatient subject to an order under S.3 Mental Health Act 1983. On 2nd July 2011, Mr [name redacted] was granted escorted S.17 leave to return home to collect belongings. Mr [name redacted] left the ward in the company of a mental health nurse and they both travelled to a tattoo parlour. Mr [name redacted] face was tattooed with a large permanent tattoo. No action was taken by the nurse to prevent this act occurring. The incident was not investigated as a serious incident by the Trust.”

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.

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