Robert McGowan
15 Jan 2025 · Coroner Chris Morris · Manchester South
The coroner's concerns
1. lack of appropriate treatment for physical health needs
“cultural, structural and systemic barriers to receiving treatment for his physical health needs”
2. incomplete treatment of bacterial endocarditis
“bacterial endocarditis which led to his death had only been partially treated”
3. autism and complex mental health needs
“living with Autism and complex mental health needs”