Prevention of Future Deaths reports · 2020

Kerry Aldridge

Regulation 28 report to prevent future deaths, reference 2020-0055, written 10 Feb 2020. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report10 Feb 2020
Reference2020-0055
DeceasedKerry Aldridge
CoronerAndrew Harris
Coroner areaLondon Inner (South)
CategoryRailway related deaths · Suicide (from 2015) · Mental Health related deaths
Organisation namedSouth London and Maudsley NHS Foundation Trust
Sourcejudiciary.uk record · original PDF
Responses published1

The report

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
THIS REPORT IS BEING SENT TO:

1. South London and a NHS Foundation Trust:

2. Metropolitan Police Service:

CORONER

Iam Andrew Harris, Senior Coroner, London Inner South jurisdiction

CORONER’S LEGAL POWERS

I make this report under paragraph 7, Schedule 5, Coroners and Justice Act 2009
and regulations 28 and 29 of the Coroners (Investigations) Regulations 2013.

INQUEST

L opened an inquest into the death of Ms Kerry Aldridge, who died on 6
April 2019 at Sydenham Railway Station (00969-2019). An investigation

was opened on 10.04.19 and an inquest was opened on 25" April and was
concluded on 9" October 2019, A decision on whether to send a report was
delayed by the process securing a transcript and awaiting interested persons to
make submissions, which ultimately was not taken up. The medical cause of death
was: la Multiple Traumatic Injuries. The conclusion was suicide.

CIRCUMSTANCES OF THE DEATH

The deceased was a student police officer. Safeguarding officers discussed her
mental well being with her on 27" March, after an allegation of a crime. On 4"
April, police officers were alerted to her high risk of suicide by jumping in front of
as train, and found her at a railway station and took her home and spent time with
her. Two days later she returned to the station and jumped into the path of a
train.

CORONER’S CONCERNS

During the course of the inquest, the local MPS investigation by Directorate of
Professional Standards reported the view of the Central Mental Health Team that
Sexual Offences Investigation Trained officers require further training in mental
health. P| the investigating officer, gave evidence that it would be
beneficial to have a mental health single point of contact within the local mental
health team who could be contacted for non-urgent advice by Safeguarding Teams
concerning victims that they are most concerned about. The investigation found
no misconduct by officers, who provided a good level of care and support.

The MATTERS OF CONCERN are as follows. -

It appears that the police Safeguarding team have no established links with NHS
MH team and that referral to a Crisis Resolution and Home Treatment Team
depends on an officer recognising the need was urgent, which may be a difficult
judgment for officers, without professional mental health advice.

ACTION SHOULD BE TAKEN

In my opinion action should be taken to prevent future deaths. I believe that the
following organizations would wish to learn of the evidence given in the inquest
about the circumstances of this death and are in a position to mitigate or prevent
future deaths:

South London and Maudsley NHS Trust

Metropolitan Police Service

YOUR RESPONSE

You are under a duty to respond to this report within 56 days of the date of this
report, namely by 6" April 2020 I, the coroner, may extend the period.

If you require a:
the case officer,

ny further information or assistance about the case, please contact

COPIES and PUBLICATION

I have sent a copy of my report to the following Interested Persons:
BE other

PE (aches
MEE Mother

Iam also sending this report to the following, who have an interest,
Secretary of State for Health, NHS England and Royal College of
Psychiatrists. | 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.

Lp

[DATE] [SIGNED BY GOROWER]
“be am,
10thFebruary 2020 Andrew Harris /Sénior Coroner

Responses

1 response published against this report on judiciary.uk. A response is a body's written reply to the coroner's concerns; publication is at the discretion of the Chief Coroner's office, so an absent response does not mean nobody replied.

Response from South London and Maudsley NHS Foundation (PDF)
Nursing Directorate 
Trust HQ 
The Maudsley Hospital  
Denmark Hill 
London 
SE5 8AZ 

               Tel: 020 32282602  

31st March 2020 

Dr Andrew Harris 
HM Coroner 
Southwark Coroners Court 

Dear Sir 

Inquest touching the death of Kerry Aldridge – PFD Response 

I am writing to you on behalf of South London & Maudsley NHS Foundation Trust 
(SLaM)  in  response  to  the  Preventing  Future  Death  report  issued  on  10th  February 
2020. 

On behalf of the Trust I acknowledge your concern in regards to this very sad incident 
which resulted in the tragic death of Ms Kerry Aldridge 

In preparing this report I have consulted with the following: 

- 

- 

- 

Inspector 
Adult Safeguarding, ANVA Tactical Policy Advisor  

, Metropolitan Police, Central Mental Health Team, 

Inspector 

, British Transport Police, Public Protection.  

, Clinical Service Lead, SLaM Acute Referrals Service (Crisis 

Assessment Team) 

The Provision of further Mental Health Training for Metropolitan Police Officers. 
In my discussion with 
 I was informed that all Metropolitan Police 
officers  receive  training  in  mental  health  and  mental  capacity  issues.    We  both 
acknowledged that there maybe specific officers who would benefit from more focused 
training.  She specifically identified officers who would have a dedicated role in suicide 
prevention.  I was able to identify that as a mental health trust we are able to provide 
mental health awareness training to a range of community partners.  Our Mental Health 
Promotion team provide Mental Health First Aid training and there is an option for the 
Metropolitan Police to commission this training package. Preliminary discussions are 
due to take place by the end of March 2020. 

 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 Mental Health Support to Metropolitan Police Officers  

  identified  that  the  Metropolitan  Police  do  not  have  a 
Safeguarding Adult Team, however, there are safeguarding strands attached to all 12 
of the Borough Command Units.  South London & Maudsley NHS Trust Foundation 
Trust      employ  two  full  time  Metropolitan  Police  officers  who  work  within  our  main 
hospital  sites  and  liaise  on  a  three  monthly  basis  with  the  borough  command 
safeguarding  officers  who  all  have  mental  health  knowledge  and  experience.  The 
officers  employed  within  our  mental  health  trust  would  usually  act  as  a  conduit  for 
information, advice and support within our service but also their fellow officers in the 
borough command units 

assured  me  that  officers  have  a  range  of  personal  support 
internally ranging from counselling to well- being advice and signposting to appropriate 
support services. 

Single Point of contact 
I am pleased to identify that there exists a strong link between SLaM & the Metropolitan 
Police. On a wider perspective, there are a number of pathways that police officers can 
assess  support  and  advice  in  relation  to  early  identification  of  individuals  who  may 
need specialist mental health interventions 

South London & Maudsley NHS Trust has, since 2017, worked in partnership with the 
Metropolitan Police to provide a crisis and assessment service. The service enables 
mental health staff to work jointly with metropolitan police officers in the provision of 
, allocates officers to work 
early assessment and intervention.  
within the Crisis and Assessment team. The service also provides a 24 hour advice 
and support line to the public, 111 service, the police and London Ambulance Service. 
The advice line is staffed by mental health professionals who will advise officers and 
instigate rapid joint assessment if required.  This joint arrangement between the police 
and South London & Maudsley NHS Foundation Trust offers a proactive joint response 
to  the  concerns  that  may  face  police  officers  who  may  have  limited  knowledge  in 
relation to mental illness. 

The Crisis and Assessment Team covers the four boroughs served by South London 
& Maudsley NHS Foundation Trust, Lewisham, Southwark, Croydon, and Lambeth.  In 
addition, there is a Pan London S.136 telephone advice and support line.  Although, 
aimed at providing advice to police officers considering the use of their powers under 
Section 136 of the Mental Health Act 2007 the line is promoted as the mental health 
single point of access.   

The  support  line  is  staffed  by  Medical  Professionals  &  Paramedics.    The  British 
Transport  Police  Public  Protection  and  Vulnerability  team  may  also  be  available  to 
assist as a consequence of accessing this help line. 

 
 
 
 
 
 
 
 
 
 
 
 
 The British Transport Police Vulnerability Unit provides a joint partnership approach 
with an NHS Provider to actively reduce and prevent railway suicides. The NHS mental 
health  workers  are  embedded  in  the  team  and  provide  mental  health  support  and 
advice  to  British  Transport  Police  and  Metropolitan  Police  on  request.    The  mental 
health workers will liaise with the police and the individual’s GP, local health, and social 
care provider to ensure that they are aware of the person’s vulnerability. This service 
has a wide geographical reach. 

I  have  attached  relevant  documents  that  illustrate  the  services  available  to  the 
Metropolitan Police to assist in formulating their concerns in relation to mental health. 

Summary 
In documenting the services provided by South London & Maudsley NHS foundation 
Trust in conjunction with the Police I hope that there is sufficient evidence to conclude 
that there is ongoing collaborative work between the NHS and the police.  There are 
clearly elements that need to be enhanced one of which may be the provision of Mental 
Health First Aid to specific officers in designated roles. 

Yours faithfully  

Director of Nursing (interim)

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