"GDPR Says Yes"

Zara was attacked and killed while walking home alone late at night. Her attacker was under the supervision of the Probation Service and had been recalled to prison when he attacked Zara. A great many concerns were raised, including: - Poor practice, record-keeping, decision-making and communication in the Probation Service, coupled with an "unwieldy" risk management system. - The Police rejecting the findings and recommendations of the Fast Time Review carried out by their own Directorate of Professional Standards. - Shortcomings in CCTV training at the local authority; the Coroner noted that this was partly a lack of two-way communication about the clarity and thoroughness of the training provided. - An equal lack of clarity among the wider public of the need to report sexualised or predatory behaviour.

DWP failed to record information about Naz's mental health needs and vulnerability, despite provision in their IT system for this. Specifically they failed to record Naz's request that contact should be made through her daughter. This contributed to Naz's suicide.

Jacob was stabbed in the neck while out for the night. His attacker had been recently released from prison, but with no co-ordinated plans to manage his serious mental health condition and the risk he posed to others. Along with the lack of integrated working across services, the Coroner identified a specific problem with the healthcare system used in prisons, which had no access to other relevant healthcare records and which didn't display key information in an accessible format.