Oskar was let down, where was the duty of care?

by Maxine Carrick

Oskar was let down, where was the duty of care?

by Maxine Carrick
Maxine Carrick
Case Owner
We are appealing for urgent help to pay for legal representation to enable our legal team to raise questions at the inquest that are not being answered by the health trust and university.
Funded
on 09th October 2022
£3,315
pledged of £5,000 stretch target from 135 pledges
Maxine Carrick
Case Owner
We are appealing for urgent help to pay for legal representation to enable our legal team to raise questions at the inquest that are not being answered by the health trust and university.

Latest: Dec. 16, 2022

The inquest outcome, and beyond

Hi Everyone, 
Sorry its been a while since I have updated this page. Its been a pretty horrendous month to say the least. The inquest wasn't pleasant, and I presume that they never are.  …

Read more

Who are we

Hello, our names are Maxine Carrick and Gary Potts and we are the parents of Oskar Carrick who died in his Halls of Residence Bramall Court in Sheffield on the 19th of June 2021. He took his own life just three weeks after his 21st birthday. 

A bit about Oskar

Oskar was the middle of five children, he was a very sensitive, quirky, outgoing, and inquisitive young man. He was a committed friend who loved meeting new people and always saw the best in people. He was always up for an adventure and was good at talking his friends into traveling the length and breadth of the country to places he had yet to visit. Oskar loved road cycling and enjoyed traveling to Europe to watch the Tour de France, chasing professional cyclists up mountain passes dressed in a Suisse flag. He has left a huge hole in our lives that can never be filled. For us, this devastating occurrence changed our family forever. For us as a family to be even able to try to live with what has happened, we need to have some answers to a variety of questions as a matter of urgency.  

Inquest

We are appealing for urgent help and support to pay for legal representation to enable our legal team to raise the questions at the inquest that are not being answered by the health trust and the university, to ensure we find out what the university knew and what they did help Oskar.  We had a pre inquest review on the 6th of September and a date has been set for the inquest on the 21st of November. We did apply for exceptional funding through legal aid, however it was rejected.

We feel questions are not being asked and most certainly have not been answered to us as a family. Oskar left home a happy excited young person who was looking forward to making a career for himself in film. He was not depressed; he had suffered a traumatic brain injury 18 months earlier from being a passenger in a Road Traffic Collision. This disability was declared to the university along with the issues it presented for him such as memory issues. We filled in a form with him when making the declaration, giving mum as the named person to be contacted should anything untoward happen, or if they had any concerns about him, we naively thought he would be safe and that someone would be looking out for him. 

Oskar’s deterioration over an eight-week period as outlined in the small amount of information we have received from institutions (Hospital and University) via the coroner is shocking to us, and in our opinion leads to more questions than providing us with answers. Oskar was assessed at the Northern General Hospital on the 24th of April after being caught trying to take his own life by ligature in his halls. He was assessed by two mental health flow co-ordinators who appear to have been called in as the trust had higher than normal levels of admissions through mental health that morning. He was deemed to-be low risk and sent back to his halls a couple of hours later, even though he states to them that he was not sorry for what he had done. We can see at least five occasions in the documentation when the University should have contacted mum, and for some reason they chose not to, and we need to know why. On one of those occasions, Oskar consented to the Wellbeing unit for his information to be shared with family and the GP, neither of us where contacted and three weeks later he was dead. We believe, we are not in receipt of all the information and that things are being withheld. Oskar’s student account, emails as well as his student finance was deleted a few days after he died, not at our request.

Our son did not come to Sheffield to die, he came to learn skills and to meet friends. Oskar is not able to put his side of the story over, therefore as his parents it is out duty to give him a voice. As we know through conversations with him days before, he did not want to die, he wanted to live, have a family and to travel. Universities should have a duty of care and information should be shared within different bodies of the university.  In Oskar’s case it appears that the Halls of residence had not been informed about his disability, he was locked down due to Covid and unable to mix with his friends. This alone would have had detrimental effect on his wellbeing, never mind the fact that there appeared to be copious amount of alcohol consumption in the halls during the time they were locked down.  

There needs to be a duty of care, especially when a student is classed as disabled and vulnerable. We thought our son was safe and that someone would be looking out for him and that they would have contacted his mum should he have had any issues, both academically and socially.  They would have contacted us quickly enough had he not paid his rent. A brain injury is devastating at any time, but Oskar appears to have had ongoing problems especially if he drank heavily, he would take risks and make bad choices, all of which he would be deeply remorseful about the following day. Behavioural changes for anyone with a brain injury should be a red flag, and again we should have been alerted.

We do not want any other parent to go through what we have. In our opinion if you are liable for students rent then you are responsible for their behaviour and parents should be contacted to support or remove their child if there is a health breakdown of any kind. We must be Oskar’s voice in this procedure, and we feel missed opportunities must be questioned and hopefully this will prevent this happening to anyone else. Had any of us in the family been informed about any of the incidents regarding Oskar we would have brought him home to receive help and we believe he would still be alive.

Thank you for taking the time to read, please support if you can and please, please share.

Maxine, Gary and Family

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Update 4

Maxine Carrick

Dec. 16, 2022

The inquest outcome, and beyond

Hi Everyone, 
Sorry its been a while since I have updated this page. Its been a pretty horrendous month to say the least. The inquest wasn't pleasant, and I presume that they never are.  We were very upset by the ruling as we were hoping for a PFD (prevention of future deaths), and I was hopeful we might get one. As far as we are concerned the whole thing felt a bit of a predetermined whitewash, we had asked to adjourn the inquest as so much info was coming in so late due to the crowd justice appeal. We were subsequently contacted by many of Oskar's flatmates and friends who we hadn't met before who wanted to give statements and state how let down both Oskar and they were, by the university. However the coroner refused to adjourn and even went so far as to suggest we may be trying to do so, to raise money. Unfortunately the students statements weren't even read out in full and one wasn't even mentioned by the coroner. Possibly as they contradicted the written statement by a member of staff from the Halls.  There wasn't even a conclusion as to why the coroner gave her verdict, just suicide! None of the oral witnesses had met Oskar or couldn't remember him, with the exception of the nurse. We only found out that the inquest was going ahead on Thursday the 17th of Nov, a few days before the actual inquest on the 21st. On the afternoon of the 17th we received nearly 100 pages of new information, including the statement from the Halls manager and the security logs relating to his decline in behaviour and earlier suicide attempt. It was only then that we found out about the horrendous spiralling of self destructive behaviour that Oskar was displaying, to his friends and security staff and their cries for help which were being ignored. Below is a statement as to what we think went wrong on the day.

Failings in process that contributed to death of Oskar

Critical failure by Hallam University not considered by coroners court.

There was no 'witness of fact', It was all 'hearsay evidence' i.e. the witnesses were reporting what they had heard from others not what they themselves had done or observed. No live evidence or witness statements were provided under oath by key staff who had been in contact with Oskar. There was no opportunity to question or confirm their actions and decisions. For the University, not even the names and qualifications of decision-making support staff were supplied. Instead, the court had been supplied with a report that had been repaired by an unknown university administrator, and a university manager answered any questions that we had about it-to the best of his ability. It was all second-hand story telling (hearsay evidence).
 
Sheffield Hallam University chose not to inform parents that Oskar had been at the highest level on their scale of concern despite having permission from Oskar to do so. On the 27th of May 21, Oskar gave his permission for his parents and GP to be informed, at this time he had been reduced from level P1* ( the highest level of concern) to a level P1.
It was argued by Hallam University that as the permission granted by Oskar was not retrospective there was therefore no need to inform the family of the specific details of his earlier suicide attempt on the 24th April 21. So, consent to share must always be provided before you attempt to take your own life. If you survive, they will not tell anybody about it.

There was, however, a failure of the university to consider what information should / could have been shared with his parents at the point in time that Oskar gave permission for them to do so. The person who made the decision not to share information was never identified or questioned under oath. Had the university merely informed Oskar's parents that Oskar was at level P1 on their scale of concern, it would have given them the opportunity to discuss what this meant with Oskar. In all likelihood Oskar would have been persuaded by his parents to engage with his GP.

NHS
NHS failed to give Oskar's GP details of attempted suicide, The assessment notes that should have been sent to the GP, were not due to human error. They merely received a discharge form from A&E, with suicidal thoughts on it! Had his GP been properly informed by the NHS of his earlier suicide attempt, a proper plan could have been put in place for Oskars care.

These two failings directly contributed to Oskars untimely death.

It is considered that Hallam University failed to understand or follow their own process, and missed a critical opportunity to inform Oskars parents that he was at Level P1 on their scale of concern.

Sheffield Hallam appear to have been confused about what information should be shared when permission to share is granted by a student.
It appears that either the process lacks this clarity, or that those following thier process did not apply that process.

We believe that, as a minimum, we should have been made aware of what level of concern he was assessed as being at and what the definitions of the different levels of concern were. Triggers were identified in court and the situation was dynamic. Lowering the level of concern for somebody who has recently attempted to take there own life, using a high-risk method is ridicules. His life was in danger. The law allows for information to be shared and places no artificial restrictions on history of events being provided.

As this failure has not been recognised by the Coroner or the University it is clear that for future students who are assessed by the University as being at level P1 or above on their scale, they will remain at serious risk. Their parents may not informed of this fact, even if the student has given their permission.
How can this be considered to be a fit for purpose process?

It is also of deep concern to us that the details of the Hallam University internal processes were only made available to us a few days before the enquiry, leaving us with very limited time to review or consider them before the hearing. Had we been given the two weeks stipulated in the Coroners own process to review the documentation perhaps we could have raised this at the inquest. However, the rushed and botched process that was inflicted upon us has lead to a situation where the now obvious failings are only apparent after the event.

We appreciate that the NHS have properly reviewed, understood and addressed any failures in their process, however Sheffield Hallam University appear not to have undertaken a critical review of thier systems.

We consider that Sheffield Hallam University need to urgently review their internal processes for student welfare.

We are deeply disappointed. Justice was clearly not delivered. We feel let down by the Coroners court which has rushed this case and not properly followed the required procedures. Families are entitled to full, fair and fearless inquest. This is not what happened and therefore opportunities to learn from this tragic death have been missed by both the Coroner and Sheffield Hallam.


I would like to thank you all for donating and sharing this crowd justice page. The page will now be closed to donations as the inquest has been finalised. However it must be noted that we will not stop searching for justice and our solicitors are progressing on the case as we speak. I will try to keep you all informed as we make progress, to not only get justice for Oskar but to stop this happening to anyone one else. There must be a legal duty of care at HE level as I believe Oskar would still be here if there was one. I have attached a PDF of an article written by a journalist who at the inquest so you might get a better insight as to all that went wrong in the Halls and the university.
Thank you all once again it means so much, I only wish Oskar could see how much people care.
Update 3

Maxine Carrick

Oct. 25, 2022

A quick update and a huge thank you

Hi, 

I just wanted to keep you all informed about where we are in relation to Oskar's case. We have received more information since the launch of the crowd justice fund, as people have got in touch to fill in some of the gaps that are missing. Some of this as been shocking to me, and I believe more than ever that Oskar was let down. I just wanted to say a huge thank you to all of you for donating, there are so many people who have left kind messages of support. It really helps because you do have days of self doubt and worry and your support really does keep us going.  I find it amazing so many of you haven't met us and don't know us, but you are still supporting us, so again a massive thank you from us all. 

This is a link to an interview that I did with our local TV network in regards to student suicides and duty of care of care, please watch

https://www.itv.com/news/border/2022-10-19/mother-calls-for-change-in-law-after-student-sons-suicide


I believe more than ever after some of the information I have received, that this really is necessary. So again if you haven't signed it please do by clicking on the link below

https://petition.parliament.uk/petitions/622847

Thank you all for time, encouragement and for donating


Update 2

Maxine Carrick

Oct. 15, 2022

A short update

I just wanted to keep you all in the loop. Not much has changed during the week in regards to the inquest, except Oskar's case made the local papers and the local ITV network are also interested in our story. I just want to say thank you from the bottom of my heart for all your donations and the lovely messages that some of you have added. You have no idea how much it means to us and as I have said before I just wish Oskar could see how much people care. If you haven't already done so could I please ask you to sign the petition regarding Duty of Care in HE education settings, we may not have found ourselves in this situation if there was one.

Please click on link below, and please share

https://www.thelearnnetwork.org.uk/statute-for-student-safety.html

Thank you once again

Maxine

Update 1

Maxine Carrick

Oct. 8, 2022

Wow, I am utterly overwhelmed!

Thank you for everyone who has donated to our cause through this page. In 24 hours we have very nearly met our first target of £1,500.00. Unfortunately we do need more and I will stretch it once we meet the target. We have been utterly overwhelmed by the gratitude of friends and strangers who have kindly donated to fund the legal team. The first hurdle is the inquest which as I said takes place on November 21st in Sheffield.  

This page as also opened up conversations and we have found out more information from people who were with Oskar at the time. I wish Oskar could see this, he would be amazed that so many people care, people who never met him as well as people who knew what an amazing friend he was. 

I can ask a couple of more things before I end, could I please ask that you continue to share as this is only the first target. Secondly and by no means least could I please ask that you sign and share the Learn Network Petition regarding Statute for student safety at university, its really important we get 100,000 signatures so it has to discussed in parliament. Just click on the link below, you will find the video upsetting but it shows the reality of what we are fighting for.

https://www.thelearnnetwork.org.uk/statute-for-student-safety.html

Thank you all, I will keep you all informed 

Maxine, Gary and family

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