Inner South London

Coroner Area
Reports: 143 Earliest: Aug 2013 Latest: 1 Feb 2026

82% response rate (above 62% average).

Clear 1 results
Simon Moss
Response Pending
2026-0052 1 Feb 2026
London SE1 8UG NHS England [REDACTED] Chief Executive Officer (CEO) +1 more
Suicide (from 2015)
Concerns summary Mental health assessments failed to incorporate detailed ambulance records (EPRC) and family contact information, leading to inadequate risk evaluation for suicidal patients due to gaps in training and policy.