Inquest Touching the Death of Cyril Haggar

An inquest took place on the 22 May 2017 at the West London’s Coroner’s Court, into the death of Cyril Haggar, who died on or about the 24 November 2016. At the time of his death Cyril Haggar was under the care of the Pembroke Centre, Ruislip, part of the Hillingdon Community Mental Health Team, within the Central and North West London NHS Foundation Trust.

Cyril Haggar had suffered a brain tumour in 2009 and subsequent to that had received support for the symptoms which flowed from the tumour. Those symptoms became worse over time, so that by 2016 his needs became more demanding, although he was still managing to work.  Matters came to a head in November 2016 due to his change in behaviour. The family were concerned for his and their welfare and therefore Cyril’s wife made an emergency telephone call on Sunday 20 November 2016. The expectation was that the request for help would be responded to in a timely manner. However, the Pembroke Centre did not do so and despite attendance at the Pembroke Centre by his wife, providing material to illustrate Cyril’s state of mind, Mr Haggar was not seen.

The Coroner also heard from a friend of Mrs Haggar, a trained counsellor. She too telephoned the Pembroke Centre but could not get through. She tried on a number of occasions and when she finally succeeded was advised that the telephone system was not working.

There was no improvement in Mr Haggar’s behaviour and on or about 24 November 2016 he took his own life. Health workers from the Pembroke Centre attended the deceased’s home on Friday 25 November, 5 days after the first telephone call.

The court heard evidence from a number of witnesses from the Pembroke Centre, including a consultant psychiatrist. That consultant said that if the Pembroke Centre was faced with the same facts again, the response would be different. A number of changes had been made by the Pembroke Centre since Mr Haggar’s death.

The Coroner delivered a Conclusion of Suicide whilst suffering from deteriorating mental illness.

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