“The Hospital Security Guard guided Andrew Gibbins back to AAU looking lost and confused…”
Dated 17 Dec 2020, from the coroner for Suffolk. Sent to 2 organisations or people.
A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.
The 56-day response deadline
Deadline passedReplies were due by 11 Feb 2021. A reply may have been sent and not yet published.
Organisations that receive a report must reply to the coroner within 56 days, saying what they will do or why they will do nothing. We show whether a response is published on judiciary.uk.
- Report dated17 Dec 2020
- Deadline11 Feb 2021
- Published on judiciary.uk7 Jan 2021
- Today23 Oct 2026
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Responses from each recipient
| Sent to | Response |
|---|---|
| West Suffolk Hospital | Response publishedPublished on judiciary.uk in January 2021. |
| Norfolk and Suffolk NHS Foundation TrustNamed in the report as “The Wedgewood Unit, Norfolk and Suffolk Foundation Trust” | Response published, not yet matchedA response is published with this report. We haven’t yet matched it to the organisation it’s from, so it may be this one’s. |
Some responses were published as scans, so their text was read automatically. Check the wording against the original before you quote it.
The coroner’s concerns
– (1) The Hospital Security Guard guided Andrew Gibbins back to AAU looking lost and confused (following a cigarette break) when in a general way saying that he was feeling suicidal and that that had been the reason why he was under the care of Wedgewood. There were no immediate concerns for him, but the Security Guard had been concerned enough to ask for the Wedgewood staff member escort when he returned to AAU. Andrew’s presentation had not been reported to any clinician at either AAU or Wedgwood.
An extract. Read the full report, including the circumstances of the death, on the Courts and Tribunals Judiciary website.
- Source
- judiciary.uk, Prevention of Future Deaths reports, 2020-0290
- Added to Minute Book
- 8 Oct 2026
- Reuse
- We show short extracts and link to the original. We don’t host the full report.
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Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0
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