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Clinician faces jail for failing to cooperate with an inquest into the death of a teenager with mental health issues

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Face of Nation : A ‘doctor’ who managed a psychiatric care home where a teenager killed herself is facing jail after admitting failing to give evidence at her inquest.

Duncan Lawrence, who staff understood to be a medical doctor but did not hold a legitimate certificate, today pleaded guilty to the offence at Wimbledon Magistrates Court.

The case, believed to be a legal first, relates to the inquest of Sophie Bennett, 19, who was found hanged in a bathroom at Lancaster Lodge in Richmond, west London, in May 2016 – just over a year after she was admitted. Lawrence was the interim manager when Care Quality Commission staff arrived for an urgent inspection of the care home two months before Ms Bennett’s death, ranking it inadequate in a number of areas. 

The teenager, who suffered from bipolar affective disorder, social anxiety disorder and atypical autism, died two days later in Kingston Hospital. An inquest jury found in February that neglect contributed to her death and oversight at the facility was ‘grossly inadequate’.

Prosecutor Charles Shelton said Lawrence was notified he should attend the inquest in October last year, telling the court: ‘The defendant made a number of recommendations as to how the care home should operate.

Lawrence, who was not represented, told the court today he had ‘extenuating circumstances’ of caring for both parents who later died and said he had provided some written statements to the coroner. He said he was guilty ‘100%’ but maintained he had ‘wrongly assumed’ written statements would suffice.

Despite being the clinical lead at the home and understood by staff to be a medical doctor, Ms Bennett’s inquest heard Lawrence did not have a legitimate medical doctorate, and had obtained a certificate from a ‘degree mill’ in Denmark. CQC inspector Wynne Price-Rees said he found Lawrence ‘disengaged’ and lacking knowledge of essential care documents at the ‘chaotic’ facility.

Magistrate John Soones said: ‘In view of your work at the care home you were expected to give important information to the coroner. ‘Irrespective of your personal circumstances you failed to do that properly despite the coroner making all efforts to help you.

‘This goes to the heart of the inquest process … to be able to get all the facts leading up to the death of Sophie Bennett. ‘There’s a real prospect of custody. We urge you to seek proper legal advice.’ Lawrence admitted withholding evidence/documentation in relation to a coroner’s inquest contrary to the Coroners and Justice Act 2009.