Marjorie Grayson
16 May 2022 · Coroner Abigail Combes · South Yorkshire (West District)
The coroner's concerns
1. returning home alone without adequate support
“Mrs [name redacted] should not return home alone as she was likely to have deteriorated whilst in prison and 4 care and she had expressed suicidal or self-harm related thoughts and (b) she should not be returned to the care of her family because, as unlikely as it may sound, she posed a continued risk to her family.”
2. inadequate risk assessments and communication
“Sheffield Health and Social Care Trust did not have risk assessments which supported adequate communication with Mrs [name redacted] herself and instead placed an overburden on her family to advocate for her”