Christopher McGuffie
PFD Report
All Responded
Ref: 2018-0386
All 1 response received
· Deadline: 8 Jul 2019
Sent To
Response Status
Responses
1 of 1
56-Day Deadline
8 Jul 2019
All responses received
About PFD responses
Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.
Source: Courts and Tribunals Judiciary
Coroners Concerns
In the circumstances it is my statutory duty t0 report to you The absence, at railway stations, of: (1) the means to raise an immediate and effective alert regarding persons on the line;
Responses
Response received
View full response
Dear Sir Re Inquest into the Death of Christopher Lewis McGuffie In response to your letter of 12 December 2018 and the findings of the inquest into the suicide of Mr McGuffie please find below both an explanation of the work we undertake at Arriva Rail North (ARN) to address suicides on our network and a response to some of the specific issues you raise. Addressing suicides and trespass on the Northern network are two strands in our overall Safety Health Environment and Crime strategies. We recognise the societal impact that suicide has on the railway and in particular on our staff;, customers and communities we senve We are committed to working together with industry partners including Network Rail (NwR) , British Transport Police (BTP) and other Train Operating Companies (TOCs) to develop plans and approaches to address suicide on the railway and the trauma it can cause staff; customers, families, friends and others have strategic responsibility for suicide prevention at Board level. am supported by_ our Workplace Health and Wellbeing Manager who acts as our suicide prevention coordinator, Ann is a member of the National Suicide Prevention Working Group (NSPWG) and the Railway Industry Suicide Stakeholder Group (RISSG): are actively engaging with the Samaritans in their current 'Small Talk Saves Lives' campaign: We have developed our Suicide Prevention Plan in line with the Rail Industry Suicide Prevention Duty Holders Group's guidance for a 9 point plan and Leading Health and Safety on Britain's Railways. The plan sets out how staff across ARN support the delivery of our plan and initiatives including: operational and station staff in identifying vulnerable individuals, carrying out interventions and supporting Samaritan promotions; control staff who coordinate the response in the event of the notification of vulnerable people, attemptedlactual suicides and trespass; crime and resilience teams who deploy our 55 Travel Safe Officers (TSO) on an intelligence led basis working alongside BTP and Network Rail VITAL teams. We also have two community safety managers who work together with the local communities and schools to discourage trespass; wwwnorthernrailway co.uk ARRIVA RAL NORTHLAGTED ADSORAL WAX DOXFORD NTER NATIONAL DUSNNESS PARK SUNDERLAND TYVE AND WEAR SRJ BXP Company No 043J7702 key the We
operational managers who will provide support to staff following an incident; training teams to develop and deliver material t0 frontline staff on suicide interventions and trespass; media teams to support the development of communications material; performance and planning on time champions to identify ways of reducing how suicide and trespass introduce delay onto the network The plan also outlines how we interact with external parties such as BTP , NwR, Station Operator (where not ARN), Other TOCs, Samaritans, Local Authorities and Public Health Authorities All frontline staff (drivers, conductors and station staff) receive training on suicide intervention as part of their initial training for their role. We are currently revising our induction training for all staff to further include a module in this area_ Staff are encouraged to attend the Samaritans Managing Suicidal Contacts course. The one-day course is specifically tailored to people working within the rail industry: This course focuses on the benefits of a short conversation with someone who may have suicidal feelings and the techniques required to sensitively support that person and help begin their recovery known as 'emotional first aid skills_ The courses which take place in one of our two training centres in Leeds and Manchester and are advertised on our internal Learning Management System (LMS) and through a variety of internal communication channels. These courses can also be accessed by other railway industry stakeholders: Over 300 staff have attended this training since we launched it in 2010. In addition all our TSOs have undertaken this training: We are also in the midst of a programme to train all our staff in Mental Health Awareness bespoke one course: Nearly 200 managers have been trained since July 2017_ Post incident support is coordinated and offered to staff and customers by station staff in conjunction with the Samaritans: Trauma Awareness training using a bespoke in house course is available to all managers- to date 79 managers have attended this training: are also arranging a course for Trade Union representatives together with Samaritans to provide post incident trauma support: Following a suicide or attempted trespass multi-disciplinary meetings involving NwR, BTP , ARNs station manager and the Samaritans take place to identify any local actions that need to take place. Suicide awareness briefs from NwR are distributed to station managers on the anniversary of an event. TSOs are also actively deployed to these locations at this time to assist the station managers We actively work with NwR to implement any BTP recommended measures following an incident such as signage, platform end protection_ Current initiatives we are undertaking internally and together with industry partners are as follows: Inclusion of suicides and trespass prevention measures as part of our station bow-tie risk assessment and Planned General Inspections data to identify hotspot locations and identify additional measures such as CCTV coverage: In the longer term we want to upgrade our CCTV network such that a live feed could be seen in a central control room offering greater potential for proactive intervention. Exploring ways to engage the wider communities at our hot spot locations; Working with a broader group of stakeholders to identify measures to address hot spot locations such as in South Manchester and South Yorkshire. Improving the tracking of interventions and staff recognition; Update briefings to all frontline staff using RISSG videos and presentations to staff during
2019. Development of a campaign to be deployed using a range of media- PIS screens, twitter, Facebook, multimedia screens and posters using a local poet; northern by arriva using day We the Using Page
northera by arriva Bespoke training for customers service controllers on how to handle callslhelp point usage by potentially suicidal customers_ Regarding the specific points you raised: As with many of our stations Chester le Street is only staffed part time. Staff are located in the booking office and not on the platform. Staff are rarely located on the platform and only at those larger stations where are involved in the despatch of trains. 2 There is a point at the station this is the responsibility of Durham County Council: understand that this is currently not working: We are installing Ticket Vending Machines across our network and phase 2 of the software installation includes a help point: The software is currently trialled. The station does not classify as a hot spot under British Transport Police's definition which is used nationally to focus the work of cross industry working groups: Such locations are defined as having 3 or more suicideslattempted suicides in 12 months. This is the only fatality at Chester le Street since the commencement of National data collection in 2015. Unfortunately there is no technology that could detect persons on the line: have attached the BTP report on the station following the incident for your information. We are looking to bring forward out planned installation of CCTV on the station and we will continue to work with industry groups to develop solutions to reducing suicide on the railway: hope this provides you with the required information.
operational managers who will provide support to staff following an incident; training teams to develop and deliver material t0 frontline staff on suicide interventions and trespass; media teams to support the development of communications material; performance and planning on time champions to identify ways of reducing how suicide and trespass introduce delay onto the network The plan also outlines how we interact with external parties such as BTP , NwR, Station Operator (where not ARN), Other TOCs, Samaritans, Local Authorities and Public Health Authorities All frontline staff (drivers, conductors and station staff) receive training on suicide intervention as part of their initial training for their role. We are currently revising our induction training for all staff to further include a module in this area_ Staff are encouraged to attend the Samaritans Managing Suicidal Contacts course. The one-day course is specifically tailored to people working within the rail industry: This course focuses on the benefits of a short conversation with someone who may have suicidal feelings and the techniques required to sensitively support that person and help begin their recovery known as 'emotional first aid skills_ The courses which take place in one of our two training centres in Leeds and Manchester and are advertised on our internal Learning Management System (LMS) and through a variety of internal communication channels. These courses can also be accessed by other railway industry stakeholders: Over 300 staff have attended this training since we launched it in 2010. In addition all our TSOs have undertaken this training: We are also in the midst of a programme to train all our staff in Mental Health Awareness bespoke one course: Nearly 200 managers have been trained since July 2017_ Post incident support is coordinated and offered to staff and customers by station staff in conjunction with the Samaritans: Trauma Awareness training using a bespoke in house course is available to all managers- to date 79 managers have attended this training: are also arranging a course for Trade Union representatives together with Samaritans to provide post incident trauma support: Following a suicide or attempted trespass multi-disciplinary meetings involving NwR, BTP , ARNs station manager and the Samaritans take place to identify any local actions that need to take place. Suicide awareness briefs from NwR are distributed to station managers on the anniversary of an event. TSOs are also actively deployed to these locations at this time to assist the station managers We actively work with NwR to implement any BTP recommended measures following an incident such as signage, platform end protection_ Current initiatives we are undertaking internally and together with industry partners are as follows: Inclusion of suicides and trespass prevention measures as part of our station bow-tie risk assessment and Planned General Inspections data to identify hotspot locations and identify additional measures such as CCTV coverage: In the longer term we want to upgrade our CCTV network such that a live feed could be seen in a central control room offering greater potential for proactive intervention. Exploring ways to engage the wider communities at our hot spot locations; Working with a broader group of stakeholders to identify measures to address hot spot locations such as in South Manchester and South Yorkshire. Improving the tracking of interventions and staff recognition; Update briefings to all frontline staff using RISSG videos and presentations to staff during
2019. Development of a campaign to be deployed using a range of media- PIS screens, twitter, Facebook, multimedia screens and posters using a local poet; northern by arriva using day We the Using Page
northera by arriva Bespoke training for customers service controllers on how to handle callslhelp point usage by potentially suicidal customers_ Regarding the specific points you raised: As with many of our stations Chester le Street is only staffed part time. Staff are located in the booking office and not on the platform. Staff are rarely located on the platform and only at those larger stations where are involved in the despatch of trains. 2 There is a point at the station this is the responsibility of Durham County Council: understand that this is currently not working: We are installing Ticket Vending Machines across our network and phase 2 of the software installation includes a help point: The software is currently trialled. The station does not classify as a hot spot under British Transport Police's definition which is used nationally to focus the work of cross industry working groups: Such locations are defined as having 3 or more suicideslattempted suicides in 12 months. This is the only fatality at Chester le Street since the commencement of National data collection in 2015. Unfortunately there is no technology that could detect persons on the line: have attached the BTP report on the station following the incident for your information. We are looking to bring forward out planned installation of CCTV on the station and we will continue to work with industry groups to develop solutions to reducing suicide on the railway: hope this provides you with the required information.
Action Should Be Taken
In my opinion action should be taken to prevent future deaths and believe you and your organisation have the power to take such action Your RESPONSE You are under a duty t respond to this report within 56 days of the date of this report, namely by Wednesday 6th February 2019. I, the Coroner; may extend the period. Your response must contain details of action taken or proposed to be taken; setting out the timetable for action. Otherwise you must explain why no action is proposed_
Report Sections
Investigation and Inquest
On 26th 2018, commenced an investigation into the death of Christopher Lewis McGUFFIE (26yrs): The investigation concluded at the end of the inquest today; the 10th December 2018. The conclusion of the inquest was SUICIDE and found that the deceased stood on the rails of the Northbound railway line at Chester le Street station where he was struck by a London to Edinburgh service.
Circumstances of the Death
At around 19.39hrs, the deceased stood between the rails beside Platform Two where he waited for about five minutes prior to collision. During that period, members of the public (most of whom were school children) attempted to call him off the rails and raise an effective alert: One young left the station and knocked at the home of a local resident to request that she alert the police. Police were notified less than two minutes prior to the collision and by making a telephone call to Network Rail achieved a block on the rail line around three minutes therafter. was told by a DS of British Transport Police (i) no platform staff were on at the time; (ii) no emergency help point exists at this station; and (iii) the station in question is "considered a hot spot for rail fatalities"_
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.