Inner South London
Coroner Area
Reports: 143
Earliest: Aug 2013
Latest: 1 Feb 2026
82% response rate (above 62% average).
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.