Richard Franks

PFD Report All Responded Ref: 2021-0355
Date of Report 21 October 2021
Coroner Kevin McLoughlin
Response Deadline est. 16 December 2021
All 1 response received · Deadline: 16 Dec 2021
Coroner's Concerns (AI summary)
Critical information regarding a prisoner's suicidal intent expressed at court was not communicated to prison staff, leading to inadequate monitoring and a lack of necessary support measures.
View full coroner's concerns
(1) Mr Franks had a known history of self-harming and suicide attempts. His emotional state when seen at court on 11 April 2019 was triggered at least in part to his reaction to a development in the prosecution brought against him which he had not foreseen. His statement that he was likely to commit suicide was not communicated to either the security staff at the court or the prison staff. In consequence, the prison staff had no information concerning the events which took place at court.

(2) Mr Franks somehow perceived that he had been sentenced to five years imprisonment, which was not the case. This false impression caused him to be in distress prior to being locked in his cell around 19:00 hours.

(3) Had information concerning his emotions at court been relayed to the prison staff, this may have triggered a decision to open an ACCT - the process by which a Prisoner is subject to increased monitorinq and suooort. In the event no checks were made on him for some 10 hours.

(4) At a previous hearing on 25.02.17 Mr Franks had made a comparable threat to kill himself as a result of what he perceived to be an adverse development in the case brought against him. At that time his signed consent authorising information to be passed to the prison was obtained and communicated to the prison.

(5) The benefit of relaying helpful information to the prison intended to protect Mr Franks, does not seem to involve a breach of professional privilege. It would have been sufficient to request that the prison staff assess Mr Franks for themselves on his return in view of (unspecified) developments at court that day.
Responses
David Ake Co Solicitors Other
14 Dec 2021
Action Planned
The solicitors will ensure that they remind appropriate organisations each time a threat to self-harm is repeated. (AI summary)
View full response
Dear Sirs

Inquest touching the death of Richard FRANKS (deceased)

We are in receipt of documentation sent to us in October 2021. We would comment as follows in relation to Regulation 28 – Report to Prevent Future Deaths.

The statement of confirms she attended Leeds Crown Court on the morning of 11 April 2019. The case involving Mr Franks was listed as a Floating Trial (there was no specific court allocated or hearing time). She was in company with a Barrister, , who was representing Mr Franks. During conference Mr Franks appeared in an agitated state and made a threat to end his life if he received a sentence of two years imprisonment. However, Mr Franks managed to calm down sufficiently to provide his barrister with instructions that he would plead guilty to the Prosecution case. It was clear at this stage the case would not proceed to trial and there was no indication as to when the case was to be called on (floating trials are not always reached). It was agreed with Counsel that an application to adjourn would be made for the reasons below and there was no reason to anticipate that this would not happen. On that basis Miss O’Connell did not wait within the court building and counsel agreed to forward his note of the hearing if the case was called on.

The case was called on in the afternoon and came before His Honour Judge Bayliss QC (we anticipate that the Coroner will have requested and been provided with a copy of the court transcript). Mr Franks was represented in court by his barrister.

In light of our concerns and those expressed in the letter (22 March 2019) of

, Senior MH Nurse, HMP Leeds, the barrister representing Mr Franks asked the court for an adjournment of the case to allow for Mr Franks to be assessed by Probation and a Psychiatrist. This was granted and Sentence was listed to take place on 9 May 2019. Mr Franks was present in court and would have heard the Defence application to adjourn. In the circumstances, it is difficult to see how Mr Franks formed the view that he had been sentenced to five years’ imprisonment. We were unaware that Mr Franks believed he had been sentenced.

The previous hearing was in February 2019 (as indicated in our statement). It was after that hearing that we contacted the prison regarding Mr Franks threat to self- harm. We received their reply in March 2019. The Regulation (page 2) refers to a previous hearing on 25 February 2017. The Regulation which was provided to the Press conveys the impression that we took no action as a result of Mr Franks’ threats made at court in February 2019. With respect, this is an unfortunate typographical error. We were surprised to hear that the prison had put Mr Franks on a short-term ACCT when they were aware that he had a history of self-harm and were notified of our concerns regarding his recent threat to self-harm.

We anticipate that, on his return to the prison, Mr Franks would have presented in an agitated state bearing in mind he believed erroneously he had received a 5-year prison sentence. We respectfully agree with the jury conclusion that the prison, having a duty of care and being aware of his previous history of self-harm and suicide attempt, should have placed Mr Franks on an ACCT for his own safety.

We only learned that Mr Franks had taken his own life when our instructed psychiatrist contacted the prison to arrange an appointment to assess Mr Franks and was informed, he was no longer at HMP Leeds.

We accept there are lessons to be learned. We have always endeavoured to follow the correct protocol when threats of self-harm are made by clients. However, we will ensure that we remind appropriate organisations each time a threat to self-harm is repeated.
Sent To
  • David Ake & Co Solicitors
Response Status
Linked responses 1 of 1
56-Day Deadline 16 Dec 2021
All responses received
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Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.

Source: Courts and Tribunals Judiciary

Report Sections
Investigation and Inquest
On 17 April 2019 I commenced an investigation into the death of Richard Gordon Franks, aged 39. This concluded on 19 October 2021 when a jury returned a narrative conclusion recording a finding of suicide based upon the post mortem evidence that the cause of death was
Circumstances of the Death
Mr Franks was remanded in custody on 29 December 2018 and remained in HMP Leeds until his death on 12. April 2019. On 11 April 2019 he appeared at Leeds Crown Court. He was seen in conference that morning by his solicitor and counsel at which time he was said to be in a highly agitated state and to indicate he was likely to commit suicide if sentenced to two years imprisonment. On his return to prison at approximately 17:00 hours he reported erroneously that he had been sentenced to five years imprisonment when in fact his case had been adjourned for sentencing at a later date. Mr Franks was last seen alive at approximately 20:25 hours when locked in his single occupancy cell. At approximately 06:00 hours the following morning, 12 April 2019 he was found dead in his cell. A post mortem examination attributed his death to
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.