Source · Prevention of Future Deaths

Laura Gawthorpe

Ref: 2024-0242 Date: 1 May 2024 Coroner: Oliver Longstaff Area: West Yorkshire (Eastern) Responses identified: 1 / 1 View PDF

Safety measures, including fencing and barriers, were only partially implemented at the car park, leaving areas where the parapet wall remained easily climbable.

Date 1 May 2024
56-day deadline 26 Jun 2024 est.
Responses identified 1 of 1
Suicide (from 2015)

Coroner's concerns

AI summary
Safety measures, including fencing and barriers, were only partially implemented at the car park, leaving areas where the parapet wall remained easily climbable.
View full coroner's concerns
(1) The evidence of West Yorkshire Police was that, by the erection of extensive fencing and barriers, measures have been put in place on levels at the car park to make it harder for people to fall from those levels, whether deliberately or accidentally.

(2) The erection of similar measures on level has been only partial. The point from where Mrs Gawthorpe fell was identified by correlating her location on the ground with the location on level where she had left her phone before her fall. At that location, the parapet wall could still easily be climbed over.

Responses

1 respondent
Leeds City Council Local Authority / Fire Service
1 Aug 2024 PDF
Action Planned

Leeds City Council is planning to install additional physical barriers at a car park and has finalized a technical specification for the work with an anticipated start date of September 2024. (AI summary)

View full response
Dear Mr Longstaff RE: REPORT TO PREVENT FUTURE DEATHS - CASE 330632 - LAURA GAWTHORPE Further to your letter dated 2nd May, 2024 addressed to , I can confirm that I am the Council’s Head of Service for Regulatory and City Centre Services which includes responsibility for the city’s council car parks. Thank you for sharing your report to prevent future deaths following the sad death of Laura Gawthorpe on 13th September 2022 and specifically the evidence provided by West Yorkshire Police in relation to barriers. I have attached, for your information, a copy of our working action plan which sets out the range of measures and actions guiding our response to date and actions going forwards at . We are committed to ensuring we do all we reasonably can to prevent further suicides. Just by way of context, was built in the 1960s, it has 1270 spaces across 18 floors. In 2008 the top levels you have referred to on your report were fenced off and following that there were no incidents for several years. The layout was reviewed again in 2013 when the car park was renovated, and no additional security features were identified. Again, there were no incidents for several years. There was extensive publicity, however, following an incident in December 2021. In retrospect we believe that this sad incident raised the profile of the building as a potential suicide site. The city has recently launched a new Suicide Prevention Action Plan which is referenced and linked into the specific action plan. We are guided by this city-wide plan which is overseen by the Leeds Suicide Prevention Strategic group in all we do in terms of suicide prevention, and specifically the actions in relation to the role of responsible communications in suicide prevention which we believe has been a key factor in this matter. HM Coroner

general enquiries : 0113 222 4444 Since receiving your report we have been working very closely with a range of partners, including The Samaritans, Leeds City Council Public Health, and internal colleagues including Leeds Building Services, (our internal building services team), health and safety, communications, and our design and architecture technical consultants at Norse Consulting Ltd. to deliver a range of new prevention measures in relation to suicide at . As part of our action plan, we have now finalised a technical specification for additional physical barriers at the locations you have identified on the floor and throughout the car park. A significant part of the car park already has barriers which have been installed at various times since the car park was originally built. Funding for the capital works and approvals to proceed have been secured and we have received high levels of interest from potential contractors to undertake the work as part of the expression of interest stage. We are currently in the process of procuring the works through a tendering exercise within our framework contract for this type of work. A timetable for the procurement and start of works is included below: Task/Milestone Date Expression of interest – market engagement
3.6.24 – 17.6.24 ATP and Governance approvals in line with CPR 3.1.7
17.6.24 Tender published on YorTender
24.6.24 Tender submission date
24.7.24 Assessment and evaluation
25.7.24 – 15.8.24 Governance and approvals
16.8.24 – 6.9.24 Contract awarded
7.9.24 Work on site begins
21.9.24 We hope that you will agree the Council has responded appropriately and responsibly to the tragic death and that the action plan devised will reduce, as far as possible, the risks of future similar deaths occurring. Please do not hesitate to contact me if we can be of any further assistance in this matter.

Report sections

Investigation and inquest
On yth October 2022 I commenced an investigation into the death of Laura Gawthorpe 07/07/1987. The investigation concluded at the end of the Inquest on 30/04/2024. The conclusion of the Inquest was that Mrs Gawthorpe's death was a suicide.
Circumstances of the death
Laura Gawthorpe was a voluntary patient at the Becklin Centre, Alma Street, Leeds. On 13th September 2022, she left the Becklin Centre on unescorted leave and made her way , where CClV tracked her making her way to levels of the car park, and thence back down , from where she deliberately fell to the ground below, dying instantly from unsurvivable injuries.

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Report details

Reference
2024-0242
Date of report
1 May 2024
Coroner
Oliver Longstaff
Coroner area
West Yorkshire (Eastern)

Responses identified

Responses identified 1 of 1
All listed responses identified

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 26 Jun 2024 (estimated).

Sent to

Leeds City Council

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