Inquest into Cerys Lupton-Jones' Death Adjourned for CPS Investigation

Cerys Lupton-Jones, 22, died at Park House mental health unit in Greater Manchester after a series of ligature incidents. An inquest into her death has been adjourned to allow the Crown Prosecution Service to investigate potential criminal charges.

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Nitish Verma
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Inquest into Cerys Lupton-Jones' Death Adjourned for CPS Investigation

Inquest into Cerys Lupton-Jones' Death Adjourned for CPS Investigation

An inquest into the death, year, old of 22-year-old Cerys Lupton-Jones, who died after a stay at Park House mental health unit in Greater Manchester, has been adjourned to allow the Crown Prosecution Service (CPS) to investigate potential criminal charges. Cerys passed away on May 18, 2022, five days after being found unconscious on Elm ward at the North Manchester General Hospital facility, where she had been staying for around six months.

Why this matters: This case highlights the need for improved patient care and oversight in mental health facilities, particularly in regards to suicide prevention and ligature risk management. The outcome of the CPS investigation may have significant implications for the accountability of healthcare professionals and the reform of death, woman, died, mental, health services in the UK.

The inquest, which began on May 9, 2023, under coroner Zak Golombek, heard that Cerys was involved in a 'ligature event' on May 12, 2022, and another on May 13, 2022, at around 2:30 pm. She was found unconscious after another incident involving a ligature at approximately 3 pm on May 13, 2022, which proved fatal.

Prior to her death, Cerys had returned to Elm Ward on May 6, 2022, after taking an overdose on April 28, 2022. On May 8, 2022, she tied a ligature in one of the bathrooms, and staff intervened. Following this incident, her prescribed observations were reduced to every 15 minutes by consultant psychologist Dr. Bhandary on May 10, 2022. Less than 48 hours later, there was another ligature incident, and Cerys was taken to A&E with a head injury. She was discharged later that evening and placed on one-to-one observation, which was again reduced by Dr. Bhandary.

During the inquest, Dr. Bhandary testified that he was not told about the ligature incident on May 10, 2022, and assumed Cerys was continuing on observations every 15 minutes. Dr. Papadopolus, a trainee psychiatrist, also stated that he was not made aware of the ligature incident and did not notice any signs of ligature during a ward round on May 13, 2022.

The inquest also heard that Cerys had written a letter detailing her feelings, stating she was in a "constant state of panic", felt "constantly overwhelmed", and that her panic was causing 90% of her ligatures. This led Dr. Papadopolus to change her medication.

The inquest has been adjourned to allow the CPS to investigate potential criminal charges related to death, old, woman's death at Park House mental health unit. Nearly two years after her passing, the family of Cerys Lupton-Jones is still waiting for answers about the circumstances surrounding her tragic death.