Investigation and inquest
On the 12 April 2024, I commenced an investigation into the death of Mrs Elizabeth Margaret Bury. The investigation concluded at the end of the inquest on 13 August 2024. The conclusion of the inquest was a narrative conclusion comprising of “complications following a fall.”
The cause of death was:
1a Bilateral haemothorax due to rib fractures and cardiac laceration
1b Fall
1c
II Ischaemic heart disease
Circumstances of the death
i) Mrs Bury was walking back to her care in Tape Street Carpark in Cheadle on the 15 February 2024. She fell on a speed bump in the car park. This caused bilateral haemothorax due to rib fractures and cardiac laceration. She passed away at the carpark.
Coroner’s concerns
1. That this carpark has been the source of many falls because of the speed bumps.