Marc Bennett

PFD Report Historic (No Identified Response) Ref: 2021-0203
Date of Report 9 June 2021
Coroner Ian Arrow
Response Deadline ✓ from report 4 August 2021
Coroner's Concerns (AI summary)
There is a critical need for Devon Partnership Trust staff to improve communication with Children's Services, especially regarding child protection investigations and providing appropriate mental health support to parents.
View full coroner's concerns
_ Lessons learned and submitted in the report by Devon Partnership Trust were, there is a need to ensure improved communication by DPT staff with Children's Services when children are undergoing S47 Child Protection investigations, andlor planning is taking place for care proceedings, to ensure appropriate support to parents open to DPT services with mental health problems Ian end
Sent To
  • Devon Partnership Trust and Devon County Council
Response Status
Linked responses 0 of 1
56-Day Deadline 4 Aug 2021
About PFD responses

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

Source: Courts and Tribunals Judiciary

Report Sections
Investigation and Inquest
Marc David Bennett Opened 27th May 2020 Concluded 9 June 2021
Circumstances of the Death
On the balance of probability the deceased was distressed by his children being taken into foster care He fashioned a ligature to his own life at his home address on 24th May 2020 Took own life
Action Should Be Taken
In my opinion action should be taken to prevent future deaths and believe you have the power to take such action; Please review and explain what steps have been taken at an Executive level to ensure improved communication
Related Inquiry Recommendations

Public inquiry recommendations addressing similar themes

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Significance of multiple referrals
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Agencies to respect school insight on risk
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KCSIE 2026 safeguarding information transfer
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Missed Child Safeguarding Referrals

Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.