Peter Embra
PFD Report
Historic (No Identified Response)
Ref: 2016-0087
Coroner's Concerns (AI summary)
A local authority failed to act on an urgent GP referral for a patient assessment, leading to a significant one-week delay before a social worker visit.
View full coroner's 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_
Sent To
- Warwickshire County Council
Response Status
Linked responses
0 of 1
56-Day Deadline
26 Apr 2016
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
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
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:
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.