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Inquest into the death of Andrew Paul Shirley concludes

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Photo by Hédi Benyounes on Unsplash

The Jury at Worcestershire Coroner’s Court found that Andrew Paul Shirley died as a result of a series of significant failures by healthcare and prison staff and that his death was contributed to by neglect.

At the time of his arrest Andrew had a recognised diagnosis of paranoid schizophrenia and was under the care of adult social services and the community mental health team. Despite this information, Andrew was placed into segregation with no ACCT measurements. After three weeks of segregation Andrew died a self-inflicted death.

Senior Coroner David Reid will be writing three reports to prevent future deaths. The reports will be circulated to the Governor of HMP Hewell, the chief executive of Practice Plus Group and the chief executive of Midlands Partnership NHS Foundation Trust. All three reports will be made publicly available to reflect the coroner’s concern that future deaths could occur as result of failings by the healthcare and prison staff.

Kirsten Sjøvoll represented Andrew’s family and was instructed by Tara Mulcair of Birnberg Peirce.

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