Prevention of Future Deaths reports · 2019
Regulation 28 report to prevent future deaths, reference 2019-0419, written 4 Dec 2019. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 4 Dec 2019 |
|---|---|
| Reference | 2019-0419 |
| Deceased | Jessica Duckworth |
| Coroner | Kevin McLoughlin |
| Coroner area | West Yorkshire (East) |
| Category | Suicide (from 2015) · Alcohol, drug and medication 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.
ANNEX A
REGULATION 28: REPORT TO PREVENT FUTURE DEATHS (1)
NOTE: This form is to be used after an inquest.
REGULATION 28 REPORT TO PREVENT FUTURE DEATHS
THIS REPORT IS BEING SENT TO:
1. Kirklees Council
Flint Street
Fartown
Huddersfield
HD1 6LG
1 | CORONER
| am Kevin McLoughlin, Senior Coroner, for the Coroner area of West Yorkshire (East)
2 | 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 2013.
3 | INVESTIGATION and INQUEST
On 25/6/2019 | commenced an investigation into the death of Jessica Louise Duckworth
aged 23. The investigation concluded at an Inquest on 2 December 2019. The
conclusion of the Inquest was that she committed suicide by falling from a motorway
bridge on the B6114 Saddleworth Road at Junction 22/23 of the M62 motorway on
16.6.19.
4 | CIRCUMSTANCES OF THE DEATH
Jessica Louise Duckworth had previously attempted suicide by taking an overdose of
tablets.
The evidence admitted at the Inquest included a statement from a police officer which
refers to the Scammonden Bridge over the M62 motorway as a “notorious location for
people to jump from and commit suicide.”
Ms Duckworth has fallen approximately 120 feet onto the carriageway. Her body was
subsequently struck by passing vehicles.
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. —
As the location has achieved notoriety as a suicide spot consideration should be
given to installing fencing or other measures to prevent people falling from the
bridge.
ACTION SHOULD BE TAKEN
In my opinion action should be taken to prevent future deaths and | believe your
organisation has the power to take such action.
/7 | YOUR RESPONSE - , _ _
'
i You are under a duty to respond to this report within 56 days of the date of this report,
namely by 3 February 2020. |, 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.
f 8 COPIES and PUBLICATION
| have sent a copy of my report to the Chief Coroner and to the following Interested
: Persons.
{, EE (Father of the deceased)
\ have also sent it to the following who may find it useful or of interest.
(Partner of the deceased)
= rkshire = ice
Huddersfield Police Station.
| am aiso 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
j response, about the release or the publication of your response by the Chief Coroner.
{
9
ath December 2019 - NA on U .
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