1 - During the course of evidence it was heard that the deceased had contact with officers from Greater Manchester Police on the night before he was found having apparently suffered a fall from height outside his home address. There was no causative or contributory link established on the evidence and officers actions the previous evening were appropriate. 2 - The deceased had a history of mental health difficulties and use of substances which contributed to episodes of mental health crisis. Police had on other occasions utilised powers under the Mental Health Act to bring him to a safe place where his mental health needs could be assessed. 3 - It was reflected in evidence that whilst front line officers must receive regular refresher training on first aid, no such provision for mental health first aid training is currently being provided, on a regular and refreshing basis. There was evidence that no direct training on mental health is provided apart from initial training. Mental Health may be a topic within other qualifications and development courses as a peripheral issue of that subject, but no dedicated mental health first aid type refresher is provided at present. 6 I ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and I believe you (and/or your organisation) have the power to take such action. 7 I YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report, namely by May 01, 2026. I, the coroner, may extrnd the period. Your response must contain details of action taken or proposed to be taken, setting out the timetable for action. otherwise you must explain why no action is proposed. 8 I COPIES and PUBLICATION I have sent a copy of my report to the Chief Coroner and to the following Interested Persons Greater Manchester Mental Health I have also sent it to National Police Chiefs Council who may find it useful or of interest. I am also under a duty to send a copy of your response to the Chief Coroner and all interested persons who in my opinion should receive it. I may also send a copy of your response to any person who I believe may find it useful or of interest. The Chief Coroner may publish either or both in a complete or redacted or summary form. He may send a copy of this report to any person who he believes may find it useful or of interest. You may make representations to me, the coroner, at the time of your response about the release or the publication of your response by the Chief Coroner. Dated: 15/03/2026 Michael James PEMBERTON I Area Coroner for Manchester West