Daniel Bowen

I am Veronica HAMILTON-DEELEY, Senior Coroner, for the City of Brighton and Hove

On 26 th September, 2018 I commenced an investigation into the death of Daniel Alexander Jeremiah BOWEN. The investigation concluded at the end of the inquest on 30 th January, 2019.The conclusion of the inquest was HE TOOK HIS OWN LIFE.

See Record of Inquest

During the course of the inquest the evidence revealed matters giving rise to concern. In my opinion there is a risk that future deaths will occur unless action is taken. In the circumstances it is my statutory duty to report to you. The MATTERS OF CONCERN are as follows: (1) Academic Advisor – Better use should be made of the person in this post for each school.   There was a wasted opportunity for the academic advisor to be involved in face to face meetings with Daniel and help him when he was struggling to get his work in on time and to deal with his academic pressures. In the circumstances  I heard that if work was late a penalty would be imposed. This seems ridiculous; why hit a man when he is already down? (2)       With regard to communication – this appeared to be deeply flawed amongst  the huge number of University departments and units. The health clinic incorporating amongst other things a pharmacy and the counselling service, was excellent offering free access to students.  The system failed –  Daniel was not in the link between his GP/counsellor and the student support unit. If this link had been complete I do not believe Daniel would have died when he did.

In my opinion action should be taken to prevent future deaths and I believe you AND our or organisation have the power to take such action.