UK Inquiry Tracker

Jonathan Thorpe

PFD Report Historic (No Identified Response) Ref: 2014-0006

Date of Report 8 January 2014

Coroner John Pollard

Coroner Area Manchester (South)

Response Deadline est. 5 March 2014

Community health care and emergency services related deaths

Judiciary.uk Report PDF

No published response · Over 2 years old

Sent To

King Street Medical Centre

Response Status

Responses 0 of 1

56-Day Deadline 5 Mar 2014

Over 2 years old — 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

Coroners Concerns

The deceased registered with your GP practice on the 20"h March 2013, was seen by on the 25th March and was issued a 'sick note' was prescribed Amitriptyline for depression (despite being a known self-harmer) . He was then seen on the 28" March by Iwhen a further 'sick note' was issued, this time back dated for one month. On neither of these consultations was there any reference to Mental Health Services, either for advice as to his previous involvement with them nor as to whether he needed further input from them;

Action Should Be Taken

In my opinion action should be taken to prevent future deaths and | believe you have the power to take such action:

Report Sections

Investigation and Inquest

On 10th May 2013 commenced an investigation into the death of Jonathan Alan (dob 25th September 1985). The investigation concluded at the end of the inquest on January 2014, The conclusion of the inquest was that the deceased took his own life. The medical cause of death was 1a Asphyxia secondary to Hanging_

Circumstances of the Death

Following deteriorating family issues and whilst using various illicit drugs, the deceased went to a tree in a local cemetery and hanged himself from one of the tree branches.