Finding into death of John Gorman Maltman

71y · Male·Coronary artery atherosclerosis

John Maltman, a 71-year-old man with intellectual disability and early Alzheimer's, died from coronary artery atherosclerosis after leaving residential care on 26 December 2017. He was reported missing after 24 hours and found deceased on 29 December in a parked car. The coroner found natural causes of death. Clinically, this case highlights the vulnerability of residents with cognitive impairment in disability accommodation services, the importance of risk assessment protocols for missing persons with medical conditions, and the need for clear communication pathways between care facilities and emergency services. Enhanced safety measures and regular welfare checks for vulnerable residents leaving facilities could inform future practice.