6 October 2010

Coroner Tom Osborne writes to the father of Stephen Carré, saying he has received no “substantive response” to his prevention of future deaths report.

What: The coroner, Tom Osborne, tells Peter Carré (father of Stephen Carré) that he has yet to receive a “substantive response” to his prevention of future deaths report (known at the time as a Rule 43 letter), and promises to contact him if he does. (Peter Carré does not hear from the coroner again until November 2015, more than five years later.)

Why significant: Demonstrates the government’s repeated refusal to act on the concerns raised by the coroner after the death of Stephen Carré.