PFD report

Laura Gawthorpe · Prevention of Future Deaths report

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Issued 1 May 2024•West Yorkshire Eastern

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.

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Concerns
1

Raised in this report

Recipients
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
1

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

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Concerns raised1

  1. Failure to provide complete fall-prevention fencing and barriers at car park levels
    Part of recurring concern: Inadequate control of falls risksPart 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.1

  1. Action

    Procure and install additional physical barriers at identified upper-floor locations and throughout the car park.

    Stated by Leeds City CouncilStated in progressThe respondent said that this action was in progress when they made their response on 14 May 2024.

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 to provide complete fall-prevention fencing and barriers at car park levels

Wider context from the report

“(1) The evidence of West Yorkshire Police was that, by the erection of extensive fencing and barriers, measures have been put in place on levels ████████ at the car park to make it harder for people to fall from those levels, whether deliberately or accidentally. (2) The erection of similar measures on level ████████ has been only partial. The point from where Mrs Gawthorpe fell was identified by correlating her location on the ground with the location on level ████████ where she had left her phone before her fall. At that location, the parapet wall could still easily be climbed over. ”

Is this part of a recurring concern?

Yes — Inadequate control of falls risks; Inadequate physical barriers preventing access to dangerous drops or areas.

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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

Procure and install additional physical barriers at identified upper-floor locations and throughout the car park.

Verbatim wording from the response

“Since receiving your report we have been working very closely with a range of partners, including The Samaritans, Leeds City Council Public Health, and internal colleagues including Leeds Building Services, (our internal building services team), health and safety, communications, and our design and architecture technical consultants at Norse Consulting Ltd. to deliver a range of new prevention measures in relation to suicide at ████████. As part of our action plan, we have now finalised a technical specification for additional physical barriers at the locations you have identified on the ████████ floor and throughout the car park. A significant part of the car park already has barriers which have been installed at various times since the car park was originally built.”

Source location

2024-0242 - Response from Leeds City Council
Page 2 · response
Published 14 May 2024

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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