There have been “failings” within the provision of former England cricketer Graham Thorpe’s care within the months earlier than he died, a coroner has mentioned, as a conclusion of suicide was recorded at an inquest.
Thorpe, 55, died on 4 August 2024 after being struck by a practice at a railway station in Surrey.
He had “spiralled into melancholy” after shedding his job as a batting coach in 2022, and tried to take his personal life on one other event, Surrey coroner’s courtroom heard. He additionally requested his spouse for assist to finish his life.
The coroner, Jonathan Stevens, mentioned the final time Thorpe was seen in particular person by healthcare professionals was on 26 March 2024. “In my judgment there have been shortcomings within the care that ought to have been supplied to Graham within the final 4 months or so of his life,” he mentioned.
Stevens added that “there have been failings within the provision of his care”, however mentioned that, on the proof, he couldn’t conclude these failings had been gross and that, with out them, Thorpe wouldn’t have died. He mentioned healthcare appointments had been supplied to Thorpe, however he “discovered it exhausting to attend these” due to his psychological well being.
Stevens discovered that “somebody ought to have gone to see him to correctly monitor and assess him, to do a face-to-face threat evaluation and perceive and deal with his care wants as required by the care plan”.
The inquest heard that healthcare professionals didn’t contemplate Thorpe to be in a “disaster state of affairs” after he missed an appointment with the neighborhood psychological well being crew on 28 June. On the time, Thorpe’s spouse, Amanda, instructed his care coordinator over the cellphone that her husband had been asking her “for assist to finish his life”.
Throughout the identical cellphone session, Thorpe mentioned he “hadn’t been out for some time” and “didn’t see the purpose of being right here”, however had no quick plans to behave on his suicidal ideas.
The coroner mentioned: “I don’t settle for that when Graham was always asking his spouse to assist him finish his life, which was a brand new presentation … that he was not at that time in disaster.
“It’s clear there have been shortcomings in his care. If he had been seen in these final 4 months, significantly after that incident on 28 June, I can not say whether or not it could or wouldn’t have made any distinction.”
In Could 2023, Thorpe had suicidal ideas and was given inpatient remedy. Stevens mentioned that “some comparable protecting measures ought to have been thought-about in June 2024”.
An investigation was carried out by Surrey and Borders Partnership NHS belief after his demise.
Thorpe was a mainstay of the England males’s cricket crew for a few years, as a batter between 1993 and 2005, after which as a coach for 12 years.
Throughout his worldwide profession, he struck 16 Check a whole bunch for England, together with a debut century towards Australia at Trent Bridge in 1993. In all codecs, he represented his nation 182 occasions.
Amanda Thorpe instructed the inquest the termination of his employment with the England and Wales Cricket Board was a “actual shock to Graham”, which was the “begin of the decline of his psychological well being”.
Talking exterior the coroner’s courtroom, she mentioned: “We’ll by no means recover from the tragic lack of Graham, and we miss him every single day. He was my greatest pal, my soulmate, and he was only a pleasure. And he liked life – however he obtained very ailing.”
Mark McGhee, the household’s authorized consultant, mentioned the coroner had discovered “important shortcomings” within the care supplied. He mentioned Thorpe’s household “hope that the coroner will deal with these considerations” in order that such a loss “by no means occurs once more”.
Jo Lynch, the chief nursing officer for the Surrey and Borders Partnership NHS belief, mentioned: “We’re deeply saddened by the tragic demise of Graham Thorpe and our ideas are with Graham’s household and family members.
“We’ll replicate on the coroner’s findings and our position in Graham’s care with a view to steady enchancment and studying.”