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Jake Baker

2024-0068

Prevention of Future Deaths Report

Coroner

Caroline Topping

Coroner's area

Surrey

Date of report

8 February 2024

Read the PFD report for

Report recipients

Local authority: Children's Services (inc social care and education/SEND)

Residential care provider - children's

Issues raised

Failure to communicate - external (other teams, services, professions, organisations)

Not talking to the person or their family/carer

Information not sought; lack of professional curiosity; capacity not considered

Other failure of policy, process, practice or professionalism

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