Amy Chapman represented Oxleas NHS Foundation Trust in the inquest into the death of Azroy Dawes-Clarke. Azroy was a serving prisoner at HMP Elmley at the time of his death on 10 November 2021. He died after tying a ligature around his neck and subsequently being restrained by prison officers.
The Interested Persons in the inquest included mental health staff employed by Oxleas NHS Foundation Trust, healthcare staff employed by an independent agency, GPs, paramedics and prison staff.
The inquest examined issues surrounding the management of self-harm within the prison, inter-agency care of a patient in crisis and whether the use of force by prison officers was causative of Azroy's death. Oxleas NHS Foundation Trust was not included in the jury's narrative conclusion.
The case has attracted significant press interest.
