Mr Ambrose had held a shotgun licence since November 1987 This was renewed every 5 years at which time there was a full review. The last review was in 2011. On 18"h November 2011 a letter from Essex Police Firearms Department was sent to his GPs surgery notifying them that he was a shotgun holder: No further details from this letter were entered onto his medical record and the fact that he was a firearms holder was not flagged on their system: In 2011 Mr Ambrose did not have any mental health problems. In September 2012 he was diagnosed with mixed dementia and this gradually worsened: He was receiving some input from the North Essex Partnership University NHS Foundation Trust (NEPT) following a referral the GP in October 2012. Mr Ambrose made NEPT aware that he had a shotgun license in his initial assessment in November 2012. May from

In 2013 he was prescribed Alzheimers medication and was advised not to drive by his GP due to his cognitive impairment: In January 2014 it was clear that there had been decline in his mental abilities and this decline continued: Although his mental health was clearly deteriorating neither the GP or NEPT referred this case to Essex Police Firearms Department: In evidence a representative of Essex Police had they been made aware of his Mental Health problems would have initiated a review of Mr Ambrose's fitness to hold a shotgun licence: There is no requirement that GPs or Mental Health Trusts notify the police of concerns about a patients mental health when they are aware that have a firearms licence.