A coroner concerned about how police dealt with a report of a missing man who was later found dead says she is worried more people could die.
Lee Bowman died after getting trapped between two fence panels, but his cause of death could not be determined because it took two months to find him.
The coroner who led his inquest has written to the College of Policing asking it to take action.
The College of Policing told the BBC it was considering the report.
Police’s ‘significant assumptions’
In the report, known as a Regulation 28 Report to Prevent Future Deaths, assistant coroner Abigail Combes said: “During the course of the inquest, the evidence revealed matters giving rise to concern.
“In my opinion there is a risk that future deaths could occur unless action is taken.”
Her concerns included police making “significant assumptions” about Mr Bowman’s whereabouts because of his alcohol addiction, and placing “insufficient weight” on what Mr Bowman’s family told them.
Mr Bowman was from Ollerton in Nottinghamshire and was 44 when he died in 2021. He had two daughters, who are now aged 17 and 23.
He was last seen by his family on 29 October 2021, shortly before he went to visit his girlfriend, who lived in the village of Thurcroft in South Yorkshire.
His brother reported him missing on 2 November because Mr Bowman usually contacted his family several times a day and they had not heard from him.
However, Nottinghamshire Police treated it as a “deliberate absence” rather than a missing person inquiry.
Mr Bowman’s father then reported him missing on 4 November, but the force wrongly believed he was still alive due to several false sightings, which the coroner said were “not necessarily thoroughly checked for accurateness”.
The sightings included one by an off-duty police constable, and the coroner said there was “insufficient scrutiny applied to the veracity of that sighting”.
The investigation was transferred to South Yorkshire Police on 28 November, but the force closed it down due to a false sighting by a PCSO.
The PCSO wrote in an email: “The missing person can be seen in Rotherham town centre on a daily basis. He is hanging around with the local drug users and drinkers.”
South Yorkshire Police also falsely told a newspaper that Mr Bowman was “alive and well”.
A spokesperson said at the time: “Inquiries established that the person in question is alive and well, however did not wish to engage further with our officers. After the individual was located, and it was established he was alive and well, our investigation was closed.”