PFD report

LYNN MARGARET GRAHAM GORMLEY · Prevention of Future Deaths report

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Issued 30 Jul 2014•Peterborough

Report record

Published report and response evidence

This page connects the concerns raised in this report with statements found in recipients’ published responses. A link shows a clear evidence connection; it does not assign responsibility.

View original report
Concerns
2

Raised in this report

Recipients
3

Named on the report

Responses found
1

Of 3 recipients

Stated actions
13

Described in responses

Recipients and published responses

Source document

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

Select any concern, action or position to view the source wording.

Concerns raised2

  1. Risk of pedestrian death from falls from car parks into public pavements
  2. Failure of Queensgate and other City Centre car park barriers to prevent jumping
    Part of recurring concern: Inadequate physical barriers preventing access to dangerous drops or areas
Responses linked to these concerns

Each statement is shown once, even when linked to more than one concern.

Actions described in response An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.5

  1. Action

    Finalise the detailed design for the preferred web-net infill solution.

    Stated by IREEF - QUEENSGATE PETERBOROUGH PROPCO S.A.R.L.Stated plannedThe respondent said that this action was planned when they made their response on 30 July 2014.
  2. Action

    Install a sample web-net system on site to assess the preferred solution.

    Stated by IREEF - QUEENSGATE PETERBOROUGH PROPCO S.A.R.L.Stated plannedThe respondent said that this action was planned when they made their response on 30 July 2014.
  3. Action

    Commission and complete a feasibility assessment of infilling or over-cladding car-park openings, including options, costs and prioritisation.

    Stated by IREEF - QUEENSGATE PETERBOROUGH PROPCO S.A.R.L.Stated completedThe respondent said that this action was complete when they made their response on 30 July 2014.

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Risk of pedestrian death from falls from car parks into public pavements

Wider context from the report

“(1) There have been a number of suicides from 2006 onwards, where individuals have taken their own lives by jumping from the Queensgate Car Parks. The current design of the car park is not effective in preventing jumps and the recent refurbishment of the car parks did not lead to the erection of barriers/increasing the height of the walls. Of note is the paper (attached) by ████████ and others (BMC Public Health 2013, 13:214) which concluded that notwithstanding certain limitations of the review undertaken, reducing access to means through the installation of barriers can be effective in averting suicides at hotspots and does not lead to substitution effects. (2) The car park at Peterborough City Hospital which was opened in 2010 and is therefore of modern design, was constructed in such a way as to provide a significant obstacle to jumping as the wall on the top floor is approximately 3 meters high. By contrast, the walls at the upper floors of the Queensgate Car Parks and other City Centre car parks, are at a low level and do not operate as an effective barrier to jumping. (3) Falls from the car parks have been into areas where the public use pavements and there is clearly a risk of death to pedestrians also. (4) There is evidence in the medical notes and records of some of those who have taken their own lives, that car parks are seen as a means of effecting death by jumping. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure of Queensgate and other City Centre car park barriers to prevent jumping

Wider context from the report

“(1) There have been a number of suicides from 2006 onwards, where individuals have taken their own lives by jumping from the Queensgate Car Parks. The current design of the car park is not effective in preventing jumps and the recent refurbishment of the car parks did not lead to the erection of barriers/increasing the height of the walls. Of note is the paper (attached) by ████████ and others (BMC Public Health 2013, 13:214) which concluded that notwithstanding certain limitations of the review undertaken, reducing access to means through the installation of barriers can be effective in averting suicides at hotspots and does not lead to substitution effects. (2) The car park at Peterborough City Hospital which was opened in 2010 and is therefore of modern design, was constructed in such a way as to provide a significant obstacle to jumping as the wall on the top floor is approximately 3 meters high. By contrast, the walls at the upper floors of the Queensgate Car Parks and other City Centre car parks, are at a low level and do not operate as an effective barrier to jumping. (3) Falls from the car parks have been into areas where the public use pavements and there is clearly a risk of death to pedestrians also. (4) There is evidence in the medical notes and records of some of those who have taken their own lives, that car parks are seen as a means of effecting death by jumping. ”

Is this part of a recurring concern?

Yes — Inadequate physical barriers preventing access to dangerous drops or areas.

Open source report

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Finalise the detailed design for the preferred web-net infill solution.

Verbatim wording from the response

“Following that site visit, an updated / final presentation was held on 12 September 2014, where further detail was provided by Beyond to the Landlord on the web-net system. At that meeting it was agreed in principal that the preferred option was the infill option of the web-net system.”

Source location

2014-0356-Response-by-Invesco
Page 3 · response
Published 30 July 2014

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Install a sample web-net system on site to assess the preferred solution.

Verbatim wording from the response

“Further to the meeting held on 18 July 2014, it was agreed that given a web-net system was the preferred solution, a small number of samples of the system should be installed. In conjunction with this further technical literature should be obtained on the product and investigations undertaken into alternative manufacturers with similar systems. Arrangements were also made for representatives of the feasibility team to conduct a site visit to a location where a web-net system was in use in order to assess the suitability of the option and that visit took place on 20 August 2014.”

Source location

2014-0356-Response-by-Invesco
Page 3 · response
Published 30 July 2014

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Commission and complete a feasibility assessment of infilling or over-cladding car-park openings, including options, costs and prioritisation.

Verbatim wording from the response

“IREEF – Queensgate Peterborough PropCo S.à r.l. (“IREEF”) acquired the centre in January 2014 and since acquisition have identified that there had been a recent increase in the number of attempted suicides and suicides at the Queensgate Centre in Peterborough. We therefore instructed Workman LLP, the largest independent commercial property management and building consultancy firm in the UK, on 20 June 2014, to review and consider physical alterations to infill/over-clad openings to the car park floors. Workman was instructed to progress with a full feasibility study to consider options and costs for a number of infill and over-clad solutions. The feasibility team comprises the following:”

Source location

2014-0356-Response-by-Invesco
Page 2 · response
Published 30 July 2014

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Invite tenders for the proposed car-park infilling and over-cladding works.

Verbatim wording from the response

“• Project tender – we will proceed with inviting tenders for the works”

Source location

2014-0356-Response-by-Invesco
Page 3 · response
Published 30 July 2014

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Commence construction of the car-park infilling and over-cladding works.

Verbatim wording from the response

“• Construction commences”

Source location

2014-0356-Response-by-Invesco
Page 3 · response
Published 30 July 2014

Open published response

Other statements in published responses

These actions and other statements could not be clearly connected to one concern in this report.

Recipient-stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.8

  1. 1

    Work with the Samaritans and local stakeholder groups, including providing training, to support suicide-prevention measures.

    Stated by IREEF - QUEENSGATE PETERBOROUGH PROPCO S.A.R.L.Stated completedThe respondent said that this action was complete when they made their response on 30 July 2014.
  2. 2

    Install and operate motion-sensing PTZ cameras on the top car-park level, with images monitored continuously in the security control room.

    Stated by IREEF - QUEENSGATE PETERBOROUGH PROPCO S.A.R.L.Stated completedThe respondent said that this action was complete when they made their response on 30 July 2014.
  3. 3

    Continue liaising with the Suicide Implementation Prevention Group to communicate progress on the car-park safety works.

    Stated by IREEF - QUEENSGATE PETERBOROUGH PROPCO S.A.R.L.Stated in progressThe respondent said that this action was in progress when they made their response on 30 July 2014.
  4. 4

    Submit the planning application and obtain building-control approval for the proposed works.

    Stated by IREEF - QUEENSGATE PETERBOROUGH PROPCO S.A.R.L.Stated plannedThe respondent said that this action was planned when they made their response on 30 July 2014.
  5. 5

    Install a red wall sensor to detect people accessing the car parks.

    Stated by IREEF - QUEENSGATE PETERBOROUGH PROPCO S.A.R.L.Stated completedThe respondent said that this action was complete when they made their response on 30 July 2014.
  6. 6

    Play positive music in the car-park stairwells to allow more time to detect and intervene with people acting impulsively.

    Stated by IREEF - QUEENSGATE PETERBOROUGH PROPCO S.A.R.L.Stated completedThe respondent said that this action was complete when they made their response on 30 July 2014.
  7. 7

    Upgrade the security control room with digital CCTV equipment monitored by two security officers.

    Stated by IREEF - QUEENSGATE PETERBOROUGH PROPCO S.A.R.L.Stated completedThe respondent said that this action was complete when they made their response on 30 July 2014.
  8. 8

    Install and operate automated cameras across the car parks to support detection of suicide attempts.

    Stated by IREEF - QUEENSGATE PETERBOROUGH PROPCO S.A.R.L.Stated completedThe respondent said that this action was complete when they made their response on 30 July 2014.

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Work with the Samaritans and local stakeholder groups, including providing training, to support suicide-prevention measures.

Verbatim wording from the response

“6.5 Working with the Samaritans and local stakeholder groups including provision of training;”

Source location

2014-0356-Response-by-Invesco
Page 4 · response
Published 30 July 2014

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Install and operate motion-sensing PTZ cameras on the top car-park level, with images monitored continuously in the security control room.

Verbatim wording from the response

“6.2 We have installed PTZ (Pan, Tilt and Zoom) digital cameras in the top level of the car park to detect any persons acting suspiciously. The cameras have an automated motion sensor and as such when any movement is detected, they send a digital image to a video wall in the security control room, which is monitored 24 hours a day, 7 days a week;”

Source location

2014-0356-Response-by-Invesco
Page 4 · response
Published 30 July 2014

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Continue liaising with the Suicide Implementation Prevention Group to communicate progress on the car-park safety works.

Verbatim wording from the response

“We also wish to assure you that we are working as expeditiously as possible to address the concerns that you have raised. Further, the onsite Queensgate team led by ████████, Centre Director, will continue to liaise and engage with the Suicide Implementation Prevention Group to ensure that progress with these works is communicated to the relevant parties.”

Source location

2014-0356-Response-by-Invesco
Page 4 · response
Published 30 July 2014

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Submit the planning application and obtain building-control approval for the proposed works.

Verbatim wording from the response

“Nathaniel Lichfield and Partners (NLP) have been appointed to advise on the planning implications of the proposed work and the works are likely to require building control approval. The works will also fall under the requirements of the Construction (Design and Management) Regulations 2007 and will be notifiable to the Health & Safety Executive.”

Source location

2014-0356-Response-by-Invesco
Page 3 · response
Published 30 July 2014

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Install a red wall sensor to detect people accessing the car parks.

Verbatim wording from the response

“6.4 We have installed a red wall sensor which is a light sensor which detects individuals accessing the car parks;”

Source location

2014-0356-Response-by-Invesco
Page 4 · response
Published 30 July 2014

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Play positive music in the car-park stairwells to allow more time to detect and intervene with people acting impulsively.

Verbatim wording from the response

“6.5 Research has shown that music can be beneficial in influencing mood and as such we play positive music in the stairwells as this may assist with anyone acting on impulse and afford us time to detect the individual before any attempt is made.”

Source location

2014-0356-Response-by-Invesco
Page 4 · response
Published 30 July 2014

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Upgrade the security control room with digital CCTV equipment monitored by two security officers.

Verbatim wording from the response

“6.3 We have upgraded our security control room with the installation of the latest digital CCTV equipment which is monitored by two security officers who sit in the control room;”

Source location

2014-0356-Response-by-Invesco
Page 4 · response
Published 30 July 2014

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Install and operate automated cameras across the car parks to support detection of suicide attempts.

Verbatim wording from the response

“6.1 More than 200 automated cameras have been installed over the last 4 years;”

Source location

2014-0356-Response-by-Invesco
Page 4 · response
Published 30 July 2014

Open published response
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Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026