There is significant doubt that bi-lateral pneumonia was a naturally occuring natural cause for David's death.  Was multi agency failings and institutional neglect contributory factors to the sudden death of David?  Deadly cocktail of prescription drugs, filthy environment and an ineffective care plan. Do those agencies need to alter their practices? The family needs to know the truth. No Inquest? No enquiry. No enquiry? No change. No change? More sudden deaths. The most vulnerable in society are having their care cut. Unqualified care workers, more drugs to sedate behaviour, less services to keep them healthy. Families rely on Mental Health Services, Social work teams and GPs to care for their loved ones. Schizophrenia shouldn't be a terminal disease.