The family of a man who died in prison says he was criminalised for mental ill health, and throughout his life was failed by the systems in place to protect him.
The report points to a systemic failure of the Trust to tackle repeated and critical failings and highlights inadequacies in initial investigations into the deaths.
The inquest into the death of Edson Da Costa, following restraint by the Metropolitan Police, will open on Tuesday 7 May 2109, and is expected to continue to 4 June 2019.