The official report said that welfare officials failed to properly assess the risk of harm to Errol Graham, a severely mentally ill man for whom they withheld disability benefits and who starved to death eight months later.
IN independent security review in the “shocking and disturbing” events leading up to Graham’s tragic and lonely death, concluded that the multiple failures of the Department of Work and Pensions (DWP), his general practice practice, and the social landlord meant that the chance to save him was lost.
Describing Graham as “an acutely mentally disturbed man who has shut himself off from the world”, the Nottingham City Adult Welfare Council said that the decisions made by all three agencies exacerbated his problems towards the end of his life, rather than sustained him.
A few months before his death, his disability benefits were halted, resulting in the automatic cancellation of his housing allowance, leaving him £1,000 in rent arrears. It also led to the shutdown of his gas supply and attempts to evict him.
The emaciated body of 57-year-old Graham was found by bailiffs who broke down the door of his Nottingham home to evict him in June 2018. expired cans of fish.
The review, which refers to Graham as “Billy,” states: “There were a number of missed opportunities for information sharing between services. If the information were passed on, it could reveal the true nature of Billy’s mental health anguish and mobilize the care and treatment he needed.”
Graham, a grandfather and former amateur football player with a long history of mental illness, lost contact with his family and support services in the latter stages of his life as his well-being deteriorated and he became withdrawn and socially isolated.
The review said that DWP and Nottingham City Homes were unable to understand why Graham did not respond to their letters, text messages and home visits and therefore failed to grasp the extent of his vulnerability when they left him without money, food and on the brink of homelessness. .
While both agencies correctly followed their own procedures when they made important decisions to deny Graham vital services, the review makes it clear that such procedures were based on “partial information and misconceptions” about why Graham refused to cooperate with them.
The review featured a poignant note left by Graham and found in his apartment after his death, in which he eloquently describes the fear, anxiety and pain caused by his depression. “All I want in life is to live normally. This would be the answer to my prayers,” he wrote.
The review makes it clear that while Graham exhibited “self-neglecting behavior” and effectively cut off all contact with the services, “the latest detrimental impact on his well-being was caused by the response of agencies to cut off access to those basic physical needs that were essential to his life.”
It says that the main lesson from Graham’s death was that his refusal to interact with support services did not deny his vulnerabilities and was not an excuse for inaction on the part of service providers. “Indeed, refusal to participate can be a sign of increased vulnerability,” he concluded.
Alison Burton, Graham’s sister-in-law, told the Guardian she welcomes many aspects of the report, in particular how it points out how shortcomings in services have left Graham despondent. But she said that the DWP should take on a legal obligation to be careful that vulnerable applicants do not slip out of the social protection system.
Nottingham City Adult Advocacy Council Chair Leslie Hutchinson said: “This review looked at the shocking circumstances of a man’s death where agency intervention exacerbated his problems rather than providing support. My sincere condolences to all who knew and loved [Errol]”.
The City of Nottingham Housing Authority (formerly Nottingham City Homes), GP practice and DWP said in the report that they have taken steps to improve information sharing and better safeguards for vulnerable applicants.
An investigation into the case in 2019 found that there were “holes” in the security around Graham. A subsequent judicial review initiated by Graham’s family, which tried to prove that the DWP had acted illegally by failing to protect him, was unsuccessful.
A DWP spokesperson said the review acknowledged the significant improvements made to processes since Graham’s death. They added: “It was an incredibly tragic case and we send our condolences to the family.”