
Rosario-Barrett said the inquest was held to understand circumstances around Bernadette’s death and identified areas for improvement, but feared any changes made would fail to make a significant impact.
She said: “We’ve come across numerous coroner reports that highlight the disjointed nature of social services.
“In Bernie’s case, her murderer was incorrectly risk assessed and multiple agencies collaboration was lacking.
“Information sharing could have be improved.”
Rosario-Barrett said the agency assessment of risk posed were “sometimes contradictory”.
She said: “From what we’ve seen incidents like these occur regularly in cases involving murders with mental health issues.
“Until there is large injection of funding and a general overhaul of working practices, we feel more people will lose their lives all because of the failings of those entrusted with our safety.
“We, her loved ones, saw the pain and anguish Bernie went through for years trying to help her son.
“We will forever be broken and never stop missing her.”
BBC News
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