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 a woman who was brutally attacked and placed in the back of a burning car by two men who had been released from prison on licence, will open on 28 May 2019 at Sunderland Coroner’s Court.
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.
The Coroner examining the deaths of two young soldiers found hanged at their base has said the Army can and must do more to encourage soldiers suffering mental distress to come forward for help.
Sean Rigg, suffering from mental ill health, died of a cardiac arrest following restraint deemed ‘unnecessary’ and ‘unsuitable’ by an inquest jury in in 2012.
Coroner has asked for more evidence from Home Office on the management of vulnerable detainees, for a possible public report by the coroner to prevent future deaths.