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Owen Garnett

2023-0434
Prevention of Future Deaths Report

Coroner

Coroner's area

Date of report

Read the PFD report for

Linda Lee

Warwickshire

8 November 2023

Report recipients

Local authority: Adult Social Care

Early Years setting, school, college or university

Owen was a 19yo with severe learning disabilities. He also suffered from Pica (an eating disorder characterised by a tendency to eat non-edible substances).

Owen's carer repeatedly raised concerns about him eating twigs, leaves and blue paper towels with his social worker and school. Despite this, Owen was left unsupervised and died after choking on blue paper towel.

Issues raised
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