Peter Lawrence
30 Aug 2016 · Coroner Simon Milburn · Cambridgeshire and Peterborough
The coroner's concerns
1. risk factors may be missed or inadequately recorded
“The identification and communication of less obvious risk factors is crucial”
2. absence of interaction with a custodial officer
“The jury identified the absence of interaction with a custodial officer in the current case to have been a missed opportunity to further identify and consider the risk of suicide/self harm”
Responses
No published response was found on judiciary.uk.