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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.


'New evidence suggests DWP covered up coroner’s WCA warning', Pring, 2015