A police officer faces misconduct proceedings over failures in the search for an escaped mental health patient who was killed by a train.
An investigation by the Independent Office for Police Conduct (IOPC) found that Inspector Collin Baker should face a disciplinary hearing in relation to the death of Matthew Caseby, 23.
In September 2020, Matthew, a fitness instructor, had been sectioned under the Mental Health Act and was being treated at the Prioryâs Woodbourne hospital in Birmingham when he was left unattended in a courtyard and was able to climb over a fence.
The escape was reported to West Midlands Police and Insp Baker, who was in charge of allocating resources, assessed Caseby as a medium risk, even though he had suffered a psychotic episode and been sectioned because he was found running on railway lines.
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Now following an investigation by the police watchdog, Insp Baker will face a misconduct hearing over his actions on the night.
Bakerâs ignorance was âstaggeringâ
Casebyâs parents made several calls to the police raising concerns for their sonâs welfare and reported that Priory staff had told them their son had left the hospital after saying that he intended to harm himself.
Matthewâs father, Richard Caseby, said that Insp Bakerâs ignorance about mental health issues was âstaggeringâ.
Insp Baker designated Caseby as being only a medium risk to himself or the public until a shift change.
Two officers reviewed the case and assessed him as high risk but he was struck and killed by a train less than two hours later.
During the three-week inquest into Matthewâs death in 2023, Insp Baker persistently refused to admit his risk assessment was wrong, his father said.
âWilfully arrogantâ
As soon as he learned that his son had escaped, Casebyâs father raced from his home in London to Birmingham to mount an overnight search.
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He got to within 200 yards of his son when he was hit by the train but was unable to save him.
Mr Caseby, a communications consultant from London, accused Insp Baker of being âwilfully arrogantâ and said his âignorance about mental health was staggeringâ.
He said he flagged down three police patrol cars as he searched for Matthew, but ânot a single officerâ knew anything about his sonâs escape.
He said: âWest Midlands Police utterly failed my family when we needed them most.
âFour years after Matthewâs death, Baker still refuses to acknowledge any error in his decisions that terrible night. During his truculent performance at the inquest he insisted he would do exactly the same all over again. His intransigence beggars belief.â
In 2023, the jury at the inquest concluded that Matthewâs death was contributed to by neglect by the Woodbourne Priory hospital.
âMatthew had abscondedâ
An independent investigation report found the Priory Woodbourne hospital was responsible for two root causes of Matthewâs death and 29 contributory factors in the three days he was a patient.
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The Priory Group was last year fined ÂŁ650,000 after Mr Casebyâs campaign prompted an investigation by the Care Quality Commission.
An IOPC spokesman said: âWe completed our investigation in December last year into the West Midlands Police (WMP) response to reports that Matthew was missing.â
The investigation followed a referral by the Force of a complaint from a family member made after the inquest into Matthewâs death.
âIt was reported to police shortly after 5pm on September 7, 2020 that Matthew had absconded from the Woodbourne Priory Hospital in Birmingham.
âOur investigation considered the initial risk assessments and subsequent reviews by officers, the actions taken to locate Matthew, and what consideration was given to concerns and information relayed by his parents.
âDuring the investigation, we reviewed documents provided as part of the inquest proceedings along with force and national policies on missing persons and mental health.
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âWe obtained statements from several witnesses and interviewed a police inspector under misconduct caution.
âAt the end of our investigation, we provided our report and findings to the police force and Matthewâs father.
âWe decided that a police inspector should attend a misconduct meeting in relation to their decision making and handling of information after Matthew was reported missing.â
A WMP spokesman said: âWe have received a report from the IOPC which recommends a misconduct meeting is held with an officer.â
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