Prevention of Future Deaths reports · 2018
Regulation 28 report to prevent future deaths, reference 2018-0085, written 12 Mar 2018. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 12 Mar 2018 |
|---|---|
| Reference | 2018-0085 |
| Deceased | Leigh Wilde |
| Coroner | Alison Mutch |
| Coroner area | Manchester South |
| Category | Other related deaths |
| Source | judiciary.uk record · original PDF |
| Responses published | none published |
Text recovered by OCR from a scanned PDF. OCR is imperfect: check anything you rely on against the source PDF. Reproduced verbatim, including the scan's own layout.
REGULATION 28: REPORT TO PREVENT FUTURE DEATHS.
"REGULATION 28 REPORT TO PREVENT FUTURE DEATHS
THIS REPORT IS BEING SENT TO: Chief Executive of LTE Group, Chief Executive
of IMI {Institute of the Motor Industry)
CORONER
lam Alison Mutch, Senior Coroner, for the coroner area of South Manchester
CORONER’S LEGAL POWERS
| make this report under paragraph 7, Schedule 5, of the Coroners and Justice:
Act 2009 and regulations 28 and 29 of the Coroners (Investigations) Regulations H
2013
INVESTIGATION and INQUEST
On 21% March 2017 | commenced an investigation into the death of Leigh
William Wilde. The investigation concluded on the 19** January 2018 andthe
conclusion was one of suicide. The medical cause of death was; 1a) Hanging
Leigh William Wilde had raised concerns about issues at his workplace. He
received a letter from his employer on 16th March 2017 having previously been
suspended on 13th March 2017. Later on 16th March 2017, Leigh William Wilde
was found suspended from a ligature at his home address
5 | CORONER’S CONCERNS
During the course of the inquest, the evidence revealed matters giving rise to
concern. In my opinion, there is a risk that future deaths will occur unless action
is taken. In the circumstances, it is my statutory duty to report to you.
The MATTERS OF CONCERN are as follows. —
° Leigh William Wilde had been suspended from his employment shortly
before his death. There was no supporting documentation to set out the
rationale for the decision. There was no evidence of risk factors or how
to minimise them being considered when deciding whether to suspend
an employee under the company policy.
e There were no notes available for the meeting on 13'* March or
evidence of consideration/discussion of risk at that meeting. There was
no evidence that he had been referred to or reminded of the support
services available to him.
e The approach of both LTE and IMI towards whistleblowers and support
for them was unclear.
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.
YOUR RESPONSE
You are under a duty to respond to this report within 56 days of the date of this
report, namely by 7" May 2018. |, the coroner, may extend 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.
COPIES and PUBLICATION
| have sent a copy of my report to the Chief Coroner and to the following
Interested Persons namely 1) Eife of the deceased 2) Greater
Manchester Police, who may find it useful or of interest.
| am also under a duty to send the Chief Coroner a copy of your response.
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.
Alison Mutch OBE
HM Senior Coroner
12/03/2018
Ne
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