Marion Turner

PFD Report Historic (No Identified Response) Ref: 2014-0300
Date of Report 25 June 2014
Coroner Caroline Beasley-Murray
Coroner Area Essex
Response Deadline ✓ from report 19 August 2014
No published response · Over 2 years old
Response Status
Responses 0 of 1
56-Day Deadline 19 Aug 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

Coroner’s Concerns
(1) Evidence was given that the day before Ms Turner’s death, her solicitor, as a result of concerns about her mental health, had telephoned into the mental health trust office and left a message for Ms Turner’s CPN. This message remained on a slip of paper, unread, in a pigeon hole until sometime the next day.
Report Sections
Investigation and Inquest
On 21 January 2013 I commenced an investigation into the death of Marion Joanne Turner. The investigation concluded at the end of the inquest on 23 June 2014. The conclusion of the inquest was that Ms Turner killed herself whilst suffering from a diagnosed mental illness. The cause of death was 1a) Hanging.
Circumstances of the Death
Marion Joanne Turner, a 40 year old lady was found hanging at her home address on 18 January 2013. She had a history of mental illness, alcoholism, self-harm and relationship difficulties. She had had inpatient treatment at times and at the time of her death she was under the care of the community mental health team.
Copies Sent To
CQC
Related Inquiry Recommendations

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Formally record and report all family requests and complaints to superior officers.
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Protocol for duty to assist referrals
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Update healthcare complaints handling guidance
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Church in Wales record-keeping policies
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.