Kelly Walsh
PFD Report
No Identified Response
Ref: 2025-0256
251 days past deadline · No identified published response
Sent To
Response Status
Responses
0 of 1
56-Day Deadline
18 Jul 2025
251 days past deadline — no identified published response
About PFD responses
Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.
Source: Courts and Tribunals Judiciary
Chief Coroner's Non-Response List
The Chief Coroner has confirmed that the following organisation did not respond within the required period:
Coroner S Concerns
_ is a reportable poison as well as a reportable explosives precursor within the terms, meaning and effect of Part 4 of Schedule IA of the Poisons Act 1972 with consequence that: The Poisons Act 1972 sets out the legal obligations in relation to the sale, purchase, use of these chemicals for suppliers, professional users and members of the public:
b. The published Guidance (commenced in 2014 and updated in August 2024) does not give specific guidance or suggested training to sellers, particularly acquired by members of the public, particularly over 'online marketplaces' in circumstances of the purchase on a 'one off' basis for the means of self-harming: Whilst there is a legal duty on persons selling this substance to report "suspicious" transactions within 24 hours to the Home Office, the purchase of small quantities is being presumed to be connected to the many legitimate uses of the substance (such as food preservation, fertilizer etc) rather than in fact, being evaluated as a member of the public seeking purchase of modest quantities used as their chosen means by which to life_
d. The current Home Qffice quidance and supporting video, leaflet and posters do not reference as a specific example of concern and focuses on the phenomenon 0f "malicious' misuse and not deliberate misuse in the sense of suicide/self-harm:
2. The police investigation into one UK based source of supply revealed in 247 cases separate supplies of 500 grams of less ofe to customers in the UK and Europe, police established that 85 of these individuals who were traceable had either died as the consequence of self-ingestion of the substance, or had purchased it with a view to having the means to use this method to end their lifein circumstances where:
a. the vendors of thel were not aware of this potential misuse of the substance. the small quantities being purchased had been incorrectly evaluated to be an increase in individuals pursuing recreational home-curing/food preservations as a hobby, being an artefact of 'lockdown' living following the COVID national pandemic emergency_ C. Vendors were unaware that their website/details were being distributed as part of internet information platforms designed to aid, abet, assist or promote suicide methods.
3. The police investigation revealed the ability of members of the public to access a number of websites_primarily created in the USA_Canada and Mexico that promoted information as The The the and end to how to access:
a. Poisons that could bring about death
b. How, in what way and with with other necessary preparations (in particular -antiemetic medications) the poisons should be administered: Sourcing such poisons/chemicals/ medications in the UK and abroad.
b. The published Guidance (commenced in 2014 and updated in August 2024) does not give specific guidance or suggested training to sellers, particularly acquired by members of the public, particularly over 'online marketplaces' in circumstances of the purchase on a 'one off' basis for the means of self-harming: Whilst there is a legal duty on persons selling this substance to report "suspicious" transactions within 24 hours to the Home Office, the purchase of small quantities is being presumed to be connected to the many legitimate uses of the substance (such as food preservation, fertilizer etc) rather than in fact, being evaluated as a member of the public seeking purchase of modest quantities used as their chosen means by which to life_
d. The current Home Qffice quidance and supporting video, leaflet and posters do not reference as a specific example of concern and focuses on the phenomenon 0f "malicious' misuse and not deliberate misuse in the sense of suicide/self-harm:
2. The police investigation into one UK based source of supply revealed in 247 cases separate supplies of 500 grams of less ofe to customers in the UK and Europe, police established that 85 of these individuals who were traceable had either died as the consequence of self-ingestion of the substance, or had purchased it with a view to having the means to use this method to end their lifein circumstances where:
a. the vendors of thel were not aware of this potential misuse of the substance. the small quantities being purchased had been incorrectly evaluated to be an increase in individuals pursuing recreational home-curing/food preservations as a hobby, being an artefact of 'lockdown' living following the COVID national pandemic emergency_ C. Vendors were unaware that their website/details were being distributed as part of internet information platforms designed to aid, abet, assist or promote suicide methods.
3. The police investigation revealed the ability of members of the public to access a number of websites_primarily created in the USA_Canada and Mexico that promoted information as The The the and end to how to access:
a. Poisons that could bring about death
b. How, in what way and with with other necessary preparations (in particular -antiemetic medications) the poisons should be administered: Sourcing such poisons/chemicals/ medications in the UK and abroad.
Report Sections
Investigation and Inquest
On 08 March 2021 I commenced an investigation into the death of Michelle Walsh
45. The investigation concluded at the end of the inquest on 07 February 2023. The medical cause of death was determined to be: 1a ttoxicity [ returned a short form conclusion that Kelly Michelle Walsh died as the reuslt of suicide: Reporting restrictions were imposed in this case because of an ongoing criminal investigation in the United Kingdom, Europe and the United States of America, the case being one of a cluster of eight similar cases upon the Greater Manchester West jurisdiction. Reporting restrictions were lifted on the 19th of April 2024. This report is being published following updates from Greater Manchester Police and suicide prevention organisations received on the 14th of March 2025.
45. The investigation concluded at the end of the inquest on 07 February 2023. The medical cause of death was determined to be: 1a ttoxicity [ returned a short form conclusion that Kelly Michelle Walsh died as the reuslt of suicide: Reporting restrictions were imposed in this case because of an ongoing criminal investigation in the United Kingdom, Europe and the United States of America, the case being one of a cluster of eight similar cases upon the Greater Manchester West jurisdiction. Reporting restrictions were lifted on the 19th of April 2024. This report is being published following updates from Greater Manchester Police and suicide prevention organisations received on the 14th of March 2025.
Circumstances of the Death
On the 27th of February 2021 the deceased was discovered in collapsed and unresponsive condition within her residence, where attending paramedics confirmed her as dead and beyond attempted resuscitation: Attending police confirmed an absence of suspicious circumstances and recovered no note or other direct expression of her intent: The deceased's post-mortem samples revealed the presence of recently ingested and fatally toxic levels of Ifrom which metabolised quantities of wasalso notedto be present: The deceased had recently sourced and acquired a quantity of_ Ifrom an internet-based supplier in Lithuania. Although the precise amount ordered and time this was done was not clear, from packaging at the scene it was established that it had been delivered recently to her usual address in Atherton that, in fact, she had not been occupying for several weeks prior to her death Kelly aged deceased had a medical history that included episodic low mood and anxiety. Historically, she had been considered to have suffered from symptomologies of Post Traumatic Stress Disorder, Bi-Polar Affective Disorder , and phases of emotional dysregulation with previous episodes of attempted self-harm: evidence established that despite being considered to possess capacity, from October 2020 she had recently entered a phase of mental health deterioration with psychotic lapses, including delusional and disordered thoughts and actions. Her mental health condition had previously been treated actively by way of inpatient treatment and at the time of her death, her enduring significant risk of self-harm was being managed conservatively in the community_ The actions that brought about her death were both deliberate and intentional, precipitated by multi-factorial stressors that included her enduring mental ill-health, financial concern and worry, recent peripatetic living arrangements away from her home and family, and matters arising from issues connected to elements of dysfunction from within a new domestic relationship.
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.