Source · Prevention of Future Deaths

Anthony Preston

Ref: 2021-0319 Date: 23 Sep 2021 Coroner: Michelle Brown Area: Essex Responses identified: 0 / 2 View PDF

The police Missing Person Policy requires review to ensure it is fit for purpose and adequately addresses risks.

Date 23 Sep 2021
56-day deadline 22 Nov 2021
Responses identified 0 of 2
Mental Health related deaths Police related deaths

Coroner's concerns

AI summary
The police Missing Person Policy requires review to ensure it is fit for purpose and adequately addresses risks.
View full coroner's concerns
That the Police Missing Person Policy should be looked at to see if it is fit for purpose.

Report sections

Investigation and inquest
On 10th September 2021 I commenced and concluded an inquest into the death of Anthony James Preston
Circumstances of the death
Anthony James Preston died on the 16th November 2020 at his home address of , Waltham Abbey as a result of suspension by Ligature. He was known to Mental Services and a Serious Incident Report was undertaken by EPUT.

On the evening of the 15th of November 2020, the police attended Mr Preston’s home following a concern raised by a friend. Mr Preston let them in but was naked, with lacerations to his wrists and was under the influence of alcohol. He had laid out clothes for his casket and written four notes to his family. He told the police he had attempted to hang himself, but it had gone wrong. An Ambulance was called and Mr Preston agreed to attend A&E. As Mr Preston agreed to go to A & E and was in a private place so the was not detained under the Mental Heath Act and they did not escort him to hospital. They were however aware of the severity of his condition at that time. On arrival, basic medical checks were completed and a referral for a mental health assessment was made. However, before the assessment took place Mr Preston was noticed to be missing from his cubicle. When he could not be found the police were informed.

The Mental Health Liaison Team notified his community team of his attendance at A&E and the circumstances of his disappearance. This was followed up straight away the following day and after failure to contact Mr Preston by telephone his support worker and the stand in Care Coordinator called at his home address at 10:30am. After they received no response the police were called and Mr Preston was subsequently found deceased within the property suspended by a ligature.

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Report details

Reference
2021-0319
Date of report
23 September 2021
Coroner
Michelle Brown
Coroner area
Essex

Responses identified

Responses identified 0 of 2
2 responses not yet linked

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 22 Nov 2021.

Sent to

Essex Police
National Police Chiefs’ Council

Part of a series

2 reports
2016-wp25351 0 responses identified

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