UK Inquiry Tracker

Peter Embra

PFD Report Historic (No Identified Response) Ref: 2016-0087

Date of Report 1 March 2016

Coroner S McGovern

Coroner Area Warwickshire

Response Deadline est. 26 April 2016

Community health care and emergency services related deaths

Judiciary.uk Report PDF

No published response · Over 2 years old

Sent To

Warwickshire County Council

Response Status

Responses 0 of 1

56-Day Deadline 26 Apr 2016

Over 2 years old — no identified published response

About PFD responses

Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.

Source: Courts and Tribunals Judiciary

Coroners Concerns

The local authority failed to act on an urgent referral from & GP GP) visited Mvr Embra at his home on 9 March 2015 and contacted the local authority asking for an urgent assessment On 16 March he made a written referral to the local authority asking for an urgent assessment preferably that There was an approximately week delay before a Social Worker visited Mr Embra_

Action Should Be Taken

In my opinion action should be taken t0 prevent future deaths and believe you as Chief Executive of Wanwvickshire County Councii have the power to take such action:

Report Sections

Investigation and Inquest

On 27 November 2015 commenced an investigation into tne death of Peter Embra. The investigation concluded at the end of the inquest on March 2016. The conclusion of the inquest was a Narrative Verdict (Copy attached)

Circumstances of the Death

See Narrative Verdict