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Local Berkshire:
Care slammed after suicide at Reading West station
A CORONER slammed health workers for not doing enough to prevent a depressed ex-convict hurling himself in front of a train.
Peter Bedford accused psychiatric and bail hostel staff of missing a chance to help after hearing a vital report was still lying on a nurse^s desk when 50-year-old Stuart Thorne killed himself at Reading West station last year.
Mr Thorne, who had battled drug and alcohol abuse and homelessness, signed out of St Leonard^s hostel in Southcote Road at 11.29am on Saturday, January 26, and 24 minutes later jumped in front of a Paddington-Bedwyn First Great Western train.
Recording a narrative verdict at yesterday^s Reading inquest, Berkshire coroner Mr Bedford acknowledged Mr Thorne refused to take medication or attend meetings with forensic community psychiatric nurse Andy Flashman, who told the court: ^I tried the best I could with the information I had. It^s quite a challenge to form a care plan without his involvement.^
But Mr Bedford said: ^Key factors were a lack of proactive information gathering by mental health professionals and not involving Mr Thorne in wellbeing support that may have helped him through his period of crisis.^
He was scathing of hostel staff for not reporting Mr Thorne^s mood deterioration or refusal to take medication to Mr Flashman during the four months he spent there after leaving Bullingdon Prison in September 2012.
He added: ^The opportunity to escalate to the mental health team and seek assistance was not taken and that is another missed opportunity.^
But key hostel worker Carolyn Curtis defended her decision, and insisted Mr Thorne^s anxiety was triggered by the threat of becoming homeless again and the failure to find him private accommodation.
She said: ^I think he was fearful for a number of reasons, homelessness in particular. But I think I was afraid he would start drinking again and re-offend and that being homeless would be the trigger.^
Mr Bedford conceded that the threat of homelessness contributed to Mr Thorne^s anxiety but said two previous suicide attempts - including leaping off an Oxford multi-storey car park in 2010 - should have meant the concerns were flagged up.
He said Mr Flashman could have been done more to contact Mr Thorne^s GP when he refused to attend meetings, did not update his records on Berkshire Healthcare Trust^s computer system or act on a vital report.
He added: ^I acknowledge the frustration of getting the information but when it was made available it then sat on Mr Flashman^s desk under other papers.^
*Mr Bedford also criticised the Trust in 2010 when 24-year-old Prospect Park Hospital patient Eva Dobraszczyk killed herself after slipping away from her carer during a supervised shopping trip.