I spent 3wks reporting 19yr old Chris Nota's Article 2 inquest in September, before it had to be adjourned due to Essex NHS Trust failing to disclose documents to investigators they'd commissioned to conduct an investigation.

The coroner, Sean Horstead, sat for 3 days this week, concluding numerous failings and missed opportunities probably more than minimally contributed to Chris's death

https://www.bbc.co.uk/news/uk-england-essex-64186669

#OpenJustice #autism #LearningDisability #DeathByIndifference