Solomon Bealey

“The Nurse became concerned at signs of stress and was aware that in 2010 [the deceased] was found preparing to hang himself, and so arranged for an on call Doctor to see him. No action was taken. The Nurse expressed her concerns to a GP in the practice. A telephone call was made to a number believed to be that of the mother of [the deceased], but it was a wrong number. The Doctor wrote to [the deceased]'s mother on two occasions and received no reply. The matter was not pursued any further.”