Amanda Dunn

PFD Report All Responded Ref: 2021-0261
Date of Report 30 July 2021
Coroner Andrew Haigh
Response Deadline est. 24 September 2021
All 2 responses received · Deadline: 24 Sep 2021
Coroner's Concerns (AI summary)
Police repeatedly failed to act on reports of neighbour harassment, suggesting incidents are not taken seriously enough and leading to missed opportunities to intervene and potentially prevent future deaths.
View full coroner's concerns
5. The MATTER OF CONCERN is as follows: Family members told me that for a period of about two years prior to her death Amanda had received a lot of aggravation from a set of neighbours. Police were contacted several times but took no action. The evidence I heard clearly seemed to amount to harassment. Prior to the inquest I was not aware of the full extent of the concerns and had not requested evidence from the police on this (PC gave evidence about the circumstances of the death itself). I realise therefore that I have only heard one side of the story but there is a real concern that police are seeking to brush such incidents under the carpet and not taking them sufficiently seriously. Clearly, I do not 1 Staffordshire Place, Stafford, ST16 2LP

want another death reported to me of a similar nature.
Responses
Staffordshire Police Police / Law Enforcement
23 Sep 2021
Action Planned
Staffordshire Police has commenced a criminal investigation into potential offences committed against Mrs. Dunn and is reviewing repeat cases of anti-social behaviour involving vulnerable people. They have also written to the Staffordshire and Stoke on Trent Adult Safeguarding Partnership Board to understand if further information was known by partner agencies. (AI summary)
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Dear Mr. Haigh

I write in reference to your Regulation 28 notice of 30 July 2021 with regard to the death of Amanda Dunn.

Firstly, I want to express my deepest condolences to the family of Mrs. Dunn and can report that Staffordshire Police have reviewed the full circumstances of her death and those leading up to it, including events back to January 2019. Having conducted a review of Staffordshire Police contact with Mrs. Dunn it has been established that there were six occasions between 14 January 2019 and 18 December 2020 when Mrs. Dunn was mentioned, namely 14 January 2019, 12 April 2019, a second occasion on 12 April 2019, 13 November 2019, 6 August 2020 and 18 December 2020.

Of those six occasions Mrs. Dunn contacted Staffordshire Police twice, namely on 13 November 2019 and 6 August 2020, when she reported anti-social behaviour by her neighbour including on 13 November mention of being pushed by her neighbour. Aside from this on 12 Apr 2019 police officers spoke with Mrs. Dunn who described difficult relations with her neighbours. The other dates when Mrs. Dunn was mentioned were when her neighbours contacted Staffordshire Police or a report was made to “Crimestoppers” and reference was made to her. The final date that Staffordshire Police had contact with Mrs. Dunn was 21 Mar 2021 when they attended her property and she was found to be deceased.

The examination of this chronology of events has identified some areas where the police could and should have performed better. This includes the important role of the police to make and record referrals to partner agencies, including mental health services to provide a better understanding of the entire circumstances and their impact.

In addition, the police did not respond effectively to the allegation of a criminal offence (the pushing incident). We have found no material where the police have confirmed, recorded or explored this allegation. This learning has been promptly shared with colleagues who are responsible for neighbourhood policing, the thematic business lead for anti-social behaviour as well as the specific officers responsible for the area in which Mrs. Dunn lived.

More broadly, the Force is reviewing whether there are any similar repeat cases of anti-social behaviour which have been reported to Staffordshire Police that involve vulnerable people. The aim of this work is to identify any cases that have been reported to Staffordshire Police which need additional work, in response to these findings. The second aim is to examine our systems and processes to ensure we provide a consistently good level of service to those people who report matters of anti-social behaviour.

A criminal investigation has commenced and is being carried out by the Force’s Criminal Investigation Department. This investigation will look at any potential criminal offences committed against Mrs Dunn and her family. Mrs Dunn’s family have been listened to and their concerns have been comprehensively recorded. Due to the live and on-going status of this I am unable to expand further, however, at the conclusion I can provide an update to you.

The circumstances of this case have also been assessed and considered by the Professional Standards Department, who have concluded that no misconduct has been identified.

Finally, the police are keen to understand if further information was known by partner agencies and if broader partnership learning can be achieved through wider understanding of this case. Consequently we have written to colleagues within the Staffordshire and Stoke on Trent Adult Safeguarding Partnership Board.

Once all of the information is available we will assess it to identify any learning opportunities. This work will take a little longer to complete as it involves the combined effort of partner agencies, but again, once completed it can be shared with you.

I want to reassure you that we take this matter very seriously and are committed to ensuring that the learning from this case is captured, understood and disseminated in a way that prevents future re-occurrences.
Staffordshire Police Police / Law Enforcement
30 Sep 2021
Noted
Staffordshire Police provides an update that the case has been referred to the Independent Office for Police Conduct (IOPC) for an independent investigation. (AI summary)
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Dear Mr. Haigh

With reference to your Regulation 28 notice of 30 July 2021 and my response dated 23 September 2021 with regard to the death of Amanda Dunn, I have further information that you need to be aware of.

In my response dated 23 September 2021, I explained that the circumstances of the case had been assessed and considered by Staffordshire Police’s Professional Standards Department, who concluded that no misconduct had been identified.

I wish to update you that the case met the criteria for a mandatory referral to the Independent Office for Police Conduct (IOPC). Following our referral, the IOPC commenced an independent investigation and will update us in due course. Amanda’s family are aware of this and have been provided with the relevant contact details.

Please accept my sincere apologies for not informing you of this at the time and I will of course update you when we receive their findings.
Sent To
  • Staffordshire Police
Response Status
Linked responses 2 of 1
56-Day Deadline 24 Sep 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 23 March 2021 I commenced an investigation into the death of Amanda DUNN. The investigation concluded at the end of the inquest on 29 July 2021. The conclusion of the inquest was 'suicide while suffering anxiety and depression' with the cause of Ms Dunn's death being 'mixed drug toxicity'.
Circumstances of the Death
Amanda Dunn died at home on 21 March 2021 from a massive self-administered overdose of prescribed medication. She had a history of mental illness and also had caring responsibilities but a major reason for her fatal actions was an ongoing problem with neighbours.
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.