1 00:00:07,040 --> 00:00:09,895 DR ADELEY: There are countless factors that can lead to your death. 2 00:00:09,920 --> 00:00:14,495 As Senior Coroner, I deal with nearly 4,500 fatalities a year. 3 00:00:17,240 --> 00:00:20,335 NARRATOR: The coroner can make any inquiries necessary 4 00:00:20,360 --> 00:00:21,775 to find a cause of death. 5 00:00:21,800 --> 00:00:24,575 The police act on behalf of the coroner. 6 00:00:24,600 --> 00:00:26,655 If the coroner asks, then we do it. 7 00:00:26,680 --> 00:00:28,135 We need to be alert to the fact that 8 00:00:28,160 --> 00:00:30,415 there could be something more sinister in this. 9 00:00:30,440 --> 00:00:32,775 With unprecedented access, 10 00:00:32,800 --> 00:00:36,015 we follow the coroner's full investigation. 11 00:00:36,040 --> 00:00:38,375 It does make you realise how fragile life is. 12 00:00:38,400 --> 00:00:40,735 Let's start and just work our way up. 13 00:00:40,760 --> 00:00:43,335 Forensic medicine is all about being very suspicious. 14 00:00:43,360 --> 00:00:46,055 From the moment of arrival in the mortuary 15 00:00:46,080 --> 00:00:49,535 to the final conclusion of the inquest. 16 00:00:49,560 --> 00:00:51,255 All rise. 17 00:00:51,280 --> 00:00:54,095 I'm sorry that you're attending court under these circumstances, 18 00:00:54,120 --> 00:00:56,535 and I appreciate that the evidence that you will hear today 19 00:00:56,560 --> 00:00:58,255 may be distressing. 20 00:00:58,280 --> 00:01:01,135 I never thought I'd ever find myself in a coroners court. 21 00:01:01,160 --> 00:01:04,135 You shouldn't have to organise a funeral for your children. 22 00:01:04,160 --> 00:01:07,535 If you die here, if it's violent, unnatural, 23 00:01:07,560 --> 00:01:11,135 or of an unknown cause, it's my job to find out how. 24 00:02:53,120 --> 00:02:56,655 Detective Inspector Paul Price has just returned 25 00:02:56,680 --> 00:02:59,455 from the scene in countryside north of Bolton. 26 00:03:00,960 --> 00:03:04,815 It's a male who's been found face down at the side of a wall. 27 00:03:04,840 --> 00:03:08,415 It looks as though he's been there for a couple of clay, I'd say. 28 00:03:08,440 --> 00:03:11,095 When we searched him, there was no phone, there was no wallet on him 29 00:03:11,120 --> 00:03:13,295 to give us any indication who he is. 30 00:03:16,360 --> 00:03:18,415 It is very strange. 31 00:03:18,440 --> 00:03:21,935 His jacket had been taken off and placed over the top of him, 32 00:03:21,960 --> 00:03:24,735 almost like a quilt or a cover. 33 00:03:24,760 --> 00:03:27,215 He's got a pair of wellington boots underneath him, 34 00:03:27,240 --> 00:03:29,575 which were no longer on his feet. 35 00:03:29,600 --> 00:03:32,775 Worryingly, his pants had been pulled down slightly. 36 00:03:32,800 --> 00:03:37,175 Ancl when we've rolled him over, he's got an injury to his cheek. 37 00:03:37,200 --> 00:03:40,215 He's also got quite a significant injury to his ear. 38 00:03:42,160 --> 00:03:45,015 There was a pair of pliers which were found next to him, 39 00:03:45,040 --> 00:03:47,295 so you've gotta look for torture injuries. 40 00:03:49,720 --> 00:03:51,775 The body was lay against the wall, 41 00:03:51,800 --> 00:03:56,095 and the wall itself is at the side of a single-track road. 42 00:03:56,120 --> 00:03:58,375 It's not far from a car park. 43 00:03:58,400 --> 00:03:59,615 So, you're asking yourself, 44 00:03:59,640 --> 00:04:01,975 "Has someone taken him there in a vehicle 45 00:04:02,000 --> 00:04:04,815 "and effectively placed him over the wall to hide him?" 46 00:04:06,680 --> 00:04:09,055 So... it's strange. 47 00:04:13,480 --> 00:04:15,255 The weather today is absolutely awful. 48 00:04:15,280 --> 00:04:17,815 It's lashing down with rain, sideways wind, 49 00:04:17,840 --> 00:04:20,175 so we've had to forensically recover him 50 00:04:20,200 --> 00:04:22,015 and take him through to the mortuary. 51 00:04:33,000 --> 00:04:35,455 It's absolutely awful to think that someone's been up there 52 00:04:35,480 --> 00:04:38,215 on their own for two clays, so it's our job now 53 00:04:38,240 --> 00:04:40,695 to try and identify him as quickly as we can 54 00:04:40,720 --> 00:04:43,215 and establish what's happened to him. 55 00:04:58,080 --> 00:05:01,975 PHONE RINGS 56 00:05:02,000 --> 00:05:04,335 DI PRICE ON PHONE: 'Hi, Dr Adeley, you OK?' 57 00:05:04,360 --> 00:05:07,255 I'm fine, thanks. '|'m coming to you with a query. 58 00:05:07,280 --> 00:05:09,615 'Basically, we've had a man pass away, 59 00:05:09,640 --> 00:05:12,535 'and he's been found in quite suspicious circumstances. 60 00:05:12,560 --> 00:05:15,215 'He was in a field, his wellington boots were at the side of him, 61 00:05:15,240 --> 00:05:17,775 'and his coat was over his head.' 62 00:05:17,800 --> 00:05:19,815 Do we have any idea who he is? 63 00:05:19,840 --> 00:05:21,735 'No, we're really struggling at the minute. 64 00:05:21,760 --> 00:05:25,135 'He didn't have any ID on him at all, he didn't have a phone. 65 00:05:25,160 --> 00:05:27,415 'We've ran him through the fingerprint machine, 66 00:05:27,440 --> 00:05:28,655 'and that's come back as negative.' 67 00:05:28,680 --> 00:05:30,775 Nothing on missing persons? 68 00:05:30,800 --> 00:05:33,975 'No, I've reached out to the neighbouring forces as well. 69 00:05:34,000 --> 00:05:36,455 'There's nothing on at this present time.' 70 00:05:36,480 --> 00:05:40,135 OK, do we have any idea how long he's been there? 71 00:05:40,160 --> 00:05:43,855 'I'd say he's been there for at least a couple of clays. 72 00:05:43,880 --> 00:05:46,735 'There's slight decomposition which has already started. 73 00:05:46,760 --> 00:05:50,295 'He had a little bit of his ear missing and an injury to his face, 74 00:05:50,320 --> 00:05:53,255 'and I'm not happy with it, so I'm coming to you 75 00:05:53,280 --> 00:05:55,895 'just to request a Home Office, if that's OK?' 76 00:05:55,920 --> 00:05:58,255 I agree entirely, I think you need a Home Office. 77 00:05:58,280 --> 00:06:00,615 'Yeah, no worries, and I'll keep you in the loop.' 78 00:06:00,640 --> 00:06:03,015 Thanks a lot, Paul, take care. 'Thank you, bye-bye.' 79 00:06:05,760 --> 00:06:09,015 Home Office post-mortems are used 80 00:06:09,040 --> 00:06:11,935 either where there are suspicious circumstances 81 00:06:11,960 --> 00:06:16,975 or the circumstances are simply unknown or strange. 82 00:06:17,000 --> 00:06:20,055 Home Office pathologists have additional training 83 00:06:20,080 --> 00:06:24,775 in detecting criminal action to determine whether or not 84 00:06:24,800 --> 00:06:27,215 any third party has been involved in the death. 85 00:06:36,440 --> 00:06:42,055 DI Paul Price must look for any CCTV cameras in the area 86 00:06:42,080 --> 00:06:45,135 that may reveal how the man ended up in the field. 87 00:06:47,440 --> 00:06:49,255 This is a map of Rivington. 88 00:06:49,280 --> 00:06:51,895 It's a very, very rural area. 89 00:06:51,920 --> 00:06:53,335 The male was found here, 90 00:06:53,360 --> 00:06:56,735 which is not far from the actual reservoir itself. 91 00:06:56,760 --> 00:07:00,455 So I've tasked officers to blitz that area predominantly. 92 00:07:04,400 --> 00:07:07,095 CCTV is proving really difficult for us, 93 00:07:07,120 --> 00:07:09,375 just because of how rural the area is. 94 00:07:09,400 --> 00:07:11,455 We've got a few cameras along here, 95 00:07:11,480 --> 00:07:14,735 but we've then expanded that out a good mile away up this way, 96 00:07:14,760 --> 00:07:16,095 a mile away that way as well, 97 00:07:16,120 --> 00:07:19,535 and all the entry points from the west and the east as well. 98 00:07:19,560 --> 00:07:21,655 We've not been able to find anyone 99 00:07:21,680 --> 00:07:23,935 who matches the mate's description on the cameras. 100 00:07:25,600 --> 00:07:28,055 It is really difficult because we don't know what clay, 101 00:07:28,080 --> 00:07:30,455 what time, how he got there. Did he come in a vehicle? 102 00:07:30,480 --> 00:07:32,335 Ancl with it being the middle of winter as well, 103 00:07:32,360 --> 00:07:34,255 it gets dark very, very quickly, 104 00:07:34,280 --> 00:07:36,455 so we've not got much daylight hours to work with. 105 00:07:38,200 --> 00:07:41,415 In the modern world, you've got so many investigative opportunities, 106 00:07:41,440 --> 00:07:43,815 but this case doesn't really have any of them. 107 00:07:43,840 --> 00:07:46,735 We've not really got the CCTV, we've not got a phone, 108 00:07:46,760 --> 00:07:48,695 we've not got a vehicle. 109 00:07:48,720 --> 00:07:51,055 You need to know who your victim is, really, 110 00:07:51,080 --> 00:07:54,095 in order to concentrate your inquiry, so it is frustrating. 111 00:07:59,920 --> 00:08:03,055 Cases like this are extremely unusual. 112 00:08:03,080 --> 00:08:06,535 If you think about the ID that you have on you 113 00:08:06,560 --> 00:08:10,015 if you were out and suddenly died, 114 00:08:10,040 --> 00:08:12,695 you'd have your phone on you, you'd have bank cards on you, 115 00:08:12,720 --> 00:08:15,055 you might have a driving license on you. 116 00:08:15,080 --> 00:08:17,855 You could have receipts as to where you've been shopping. 117 00:08:19,840 --> 00:08:24,655 This is a man who's found alongside a wall in a field in Rivington, 118 00:08:24,680 --> 00:08:26,415 in terrible weather, 119 00:08:26,440 --> 00:08:30,135 and we have no idea at all who he is. 120 00:08:51,240 --> 00:08:52,695 NARRATOR: In Preston, 121 00:08:52,720 --> 00:08:56,695 Detective Inspector Paul Price is trying to identify a man 122 00:08:56,720 --> 00:08:59,055 found dead in a field north of Bolton. 123 00:08:59,080 --> 00:09:01,935 I've checked the current outstanding missing persons on our systems, 124 00:09:01,960 --> 00:09:04,895 and I've also sent that out to neighbouring forces 125 00:09:04,920 --> 00:09:08,655 and there's no-one that matches that description at the moment. 126 00:09:08,680 --> 00:09:11,015 So we need to go bigger, effectively, 127 00:09:11,040 --> 00:09:13,215 and we need to send that out on a social media appeal. 128 00:09:15,760 --> 00:09:18,215 The description for the male that I've put out is 129 00:09:18,240 --> 00:09:22,615 a 40- to 50-year-old male, a dark goatee-style beard, 130 00:09:22,640 --> 00:09:27,015 wearing a green Foxy jacket and green-coloured wellington boots. 131 00:09:27,040 --> 00:09:29,375 The thing that really stands out more than anything 132 00:09:29,400 --> 00:09:32,935 is he's got an orange Casio digital watch, quite distinctive. 133 00:09:32,960 --> 00:09:36,335 I think if any member of your family had that, you'd notice it. 134 00:09:36,360 --> 00:09:38,215 So that's gonna be the focus of our appeal. 135 00:09:39,520 --> 00:09:42,375 As well as posting on social media, 136 00:09:42,400 --> 00:09:46,255 DI Paul Price is sending a photograph of the man's face 137 00:09:46,280 --> 00:09:49,535 to the police facial recognition database. 138 00:09:49,560 --> 00:09:52,095 The photograph goes through to headquarters, 139 00:09:52,120 --> 00:09:54,775 they will then run that photograph through the system 140 00:09:54,800 --> 00:09:57,015 to see if there's any matches which do come back. 141 00:10:00,440 --> 00:10:04,175 With suspicion of third party involvement in the man's death, 142 00:10:04,200 --> 00:10:07,655 the coroner has ordered a Home Office post-mortem. 143 00:10:12,720 --> 00:10:15,655 Having the pathologist come and do an intrusive post-mortem, 144 00:10:15,680 --> 00:10:18,015 they can assess what could potentially be 145 00:10:18,040 --> 00:10:19,975 injuries beneath the skin a little bit better. 146 00:10:20,000 --> 00:10:21,615 We do need to be alert 147 00:10:21,640 --> 00:10:24,055 to the fact that there could be something more sinister in this. 148 00:10:29,920 --> 00:10:34,135 Forensic pathologist Dr Matthew Lyall has been assigned to the case. 149 00:10:36,320 --> 00:10:40,215 OK, if you just say white adult male, 150 00:10:40,240 --> 00:10:44,535 appears middle aged, 80 kilograms in the bag, 151 00:10:44,560 --> 00:10:49,055 and 167 centimetres in height. 152 00:10:49,080 --> 00:10:54,855 Ancl so body generally clamp with some adherent vegetation. 153 00:10:54,880 --> 00:10:58,295 A Crime Scene Investigator will photograph the process. 154 00:10:58,320 --> 00:10:59,975 OK, and a new paragraph, 155 00:11:00,000 --> 00:11:02,975 you'd say the eyes are softened and discoloured. 156 00:11:03,000 --> 00:11:04,935 Nose intact. 157 00:11:04,960 --> 00:11:07,295 Matt, would you be able to tell us what colour his eyes are? 158 00:11:07,320 --> 00:11:09,655 I'm just thinking for the appeal and stuff like that. 159 00:11:09,680 --> 00:11:13,975 They're all discoloured clue to post-mortem changes, really. 160 00:11:16,560 --> 00:11:19,535 As well as looking for identifying features, 161 00:11:19,560 --> 00:11:23,815 Dr Lyall is searching for any evidence of third party involvement. 162 00:11:25,320 --> 00:11:28,175 OK, faint bruise, three by two. 163 00:11:28,200 --> 00:11:30,495 Inner surface knee. 164 00:11:31,960 --> 00:11:36,175 Small bruise. Top front thigh. 165 00:11:38,000 --> 00:11:39,775 The main problem with him, at the moment, 166 00:11:39,800 --> 00:11:41,615 is just that he's starting to decompose, 167 00:11:41,640 --> 00:11:44,095 and that becomes a much more challenging... 168 00:11:44,120 --> 00:11:45,495 It's usually pretty easy 169 00:11:45,520 --> 00:11:47,855 to determine if something's a bruise or not. 170 00:11:47,880 --> 00:11:52,375 But the process of decomposition also affects blood vessels, 171 00:11:52,400 --> 00:11:56,615 so blood vessels can start to leak and it will just simulate bruising. 172 00:11:57,800 --> 00:12:00,055 And then next... 173 00:12:00,080 --> 00:12:05,335 ragged loss of... left ear lobe 174 00:12:05,360 --> 00:12:11,695 and lower helix, exposing soft tissue, 175 00:12:11,720 --> 00:12:14,695 which is slightly blood stained. 176 00:12:14,720 --> 00:12:16,975 Are you able to tell if that's healing at all 177 00:12:17,000 --> 00:12:18,615 or if it's old or new or...? 178 00:12:18,640 --> 00:12:22,175 I don't think it's healing, looks recent. Recent. 179 00:12:22,200 --> 00:12:25,455 But there's clearly a piece of the ear missing, though. 180 00:12:33,680 --> 00:12:37,015 OK, so next is outer left cheek. 181 00:12:38,960 --> 00:12:41,895 Gaping, irregular injury 182 00:12:41,920 --> 00:12:46,135 which is approximately 5.5 centimetres in length. 183 00:12:49,520 --> 00:12:51,695 Quite peculiar-looking injuries, really. 184 00:12:54,520 --> 00:12:57,575 You've literally had no-one say who they think he is? 185 00:12:57,600 --> 00:13:00,575 Not at all. Even like other forces and stuff like that haven't... 186 00:13:00,600 --> 00:13:01,855 Nothing? 187 00:13:01,880 --> 00:13:05,295 Contacted all of them, put it on the NCA website. Nothing. 188 00:13:05,320 --> 00:13:08,255 Weird that he has no phone on him, though, or anything. 189 00:13:08,280 --> 00:13:09,615 We've clone a full search 190 00:13:09,640 --> 00:13:12,135 of all the fields as well around it, nothing there. 191 00:13:49,920 --> 00:13:53,215 47-year-oldjane Hubberstey has been transported 192 00:13:53,240 --> 00:13:55,095 to Royal Preston Hospital. 193 00:13:55,120 --> 00:13:58,975 She was found unconscious at home by a relative, 194 00:13:59,000 --> 00:14:03,375 hadn't been seen for a clay or two, which was out of character forjane. 195 00:14:06,800 --> 00:14:10,495 I rang her on Friday morning... 196 00:14:10,520 --> 00:14:12,695 because I was going to take her shopping. 197 00:14:14,160 --> 00:14:15,655 When she didn't answer the phone, 198 00:14:15,680 --> 00:14:18,615 that was when I really thought something seriously was wrong. 199 00:14:20,160 --> 00:14:24,375 Ancl I went in, and she was just lying there, her eyes open. 200 00:14:26,240 --> 00:14:28,655 There were a number of things of concern, 201 00:14:28,680 --> 00:14:32,535 the main thing being that her conscious level was quite low. 202 00:14:32,560 --> 00:14:34,415 She was known to be diabetic, 203 00:14:34,440 --> 00:14:37,695 and there was a feeling that she hadn't been taking her insulin. 204 00:14:37,720 --> 00:14:41,095 So with that complexity of situation, 205 00:14:41,120 --> 00:14:43,655 the most appropriate place for her to come 206 00:14:43,680 --> 00:14:45,135 was to the intensive care unit. 207 00:14:46,880 --> 00:14:48,495 She'd had a lot of episodes 208 00:14:48,520 --> 00:14:51,975 of various sorts of self-harming over a long, long time... 209 00:14:53,320 --> 00:14:57,135 ...so possibly it was just one more, I don't know. 210 00:14:59,000 --> 00:15:01,975 She was kept there for quite a few weeks, 211 00:15:02,000 --> 00:15:04,655 and then they transferred her upstairs 212 00:15:04,680 --> 00:15:07,855 to enhanced care for about 13 weeks. 213 00:15:10,320 --> 00:15:14,855 Jane had developed a brain injury as a result of being unconscious 214 00:15:14,880 --> 00:15:17,495 and unable to breathe by herself. 215 00:15:23,120 --> 00:15:26,095 So it became apparent that she wasn't going to come out of it. 216 00:15:28,320 --> 00:15:33,015 They were talking about just letting her go, 217 00:15:33,040 --> 00:15:34,975 you know, fade away. 218 00:15:37,280 --> 00:15:39,735 Ancl then I got a call... 219 00:15:39,760 --> 00:15:42,615 about nine o'clock, to say she'd actually cited. 220 00:15:45,960 --> 00:15:49,295 Yeah, so that was the actual end. 221 00:16:16,920 --> 00:16:19,695 Any deaths that occur in hospital 222 00:16:19,720 --> 00:16:22,215 are reviewed by the medical examiners. 223 00:16:24,160 --> 00:16:26,495 Hi, Amy. Hi, Alice, thanks for coming down. 224 00:16:26,520 --> 00:16:30,415 It's a lady called Jane Hubberstey, she's 47. 225 00:16:30,440 --> 00:16:36,255 She's come in, and there seems to be quite a few admissions previously, 226 00:16:36,280 --> 00:16:37,855 four or five, 227 00:16:37,880 --> 00:16:40,655 where she didn't take her insulin for a prolonged period of time, 228 00:16:40,680 --> 00:16:42,495 and that was with an intention. 229 00:16:42,520 --> 00:16:45,655 Is there anything on record about the levels of insulin? 230 00:16:45,680 --> 00:16:48,015 Were there any bloods taken on admission to look at...? 231 00:16:48,040 --> 00:16:51,735 I would probably have to run that past a diabetic clinician 232 00:16:51,760 --> 00:16:53,135 if you wanted further details. 233 00:16:53,160 --> 00:16:57,535 So, it's a combination of overdosing and not taking. Yeah. 234 00:16:57,560 --> 00:16:59,495 And all those times, they've brought her into hospital? 235 00:16:59,520 --> 00:17:00,855 They have. 236 00:17:00,880 --> 00:17:03,215 According to records, she does have depression 237 00:17:03,240 --> 00:17:05,135 and she's under the mental health team. 238 00:17:05,160 --> 00:17:07,815 I'll go have a chat with the family, try and get a more information 239 00:17:07,840 --> 00:17:10,175 about the days leading up to her admission. Yeah. 240 00:17:10,200 --> 00:17:12,535 Once I've got that information, I'll give the coroner a call 241 00:17:12,560 --> 00:17:14,055 and see what they want to do. Perfect. 242 00:17:14,080 --> 00:17:15,335 Thank you. Cheers. Thanks, Alice. 243 00:17:23,920 --> 00:17:27,735 She came into the world backwards in 1976, 244 00:17:27,760 --> 00:17:31,735 weighing two pounds, ten ounces, and she was feisty, you know. 245 00:17:31,760 --> 00:17:35,095 She had that bit of spirit that she survived. 246 00:17:36,480 --> 00:17:37,655 All through her life, 247 00:17:37,680 --> 00:17:42,215 she's faced a lot of things to do with illness. 248 00:17:42,240 --> 00:17:46,015 She's been quite tough in that way, 249 00:17:46,040 --> 00:17:49,975 but very, very vulnerable in other ways. 250 00:17:50,000 --> 00:17:52,335 She loved animals, she always did. 251 00:17:52,360 --> 00:17:55,095 Her favourite friend was a little jack Russell terrier 252 00:17:55,120 --> 00:17:57,895 who she had for 14 years. 253 00:17:57,920 --> 00:18:01,495 When he had to be put down, that was terribly dramatic, 254 00:18:01,520 --> 00:18:03,775 you know, she was very... 255 00:18:03,800 --> 00:18:06,535 very, very sad to lose Patch. 256 00:18:06,560 --> 00:18:09,535 Patch was her mate, her best friend. 257 00:18:12,360 --> 00:18:16,055 She trained, when she left school, as a nursery nurse, 258 00:18:16,080 --> 00:18:18,735 but she never really had chance to do it 259 00:18:18,760 --> 00:18:23,575 because by then she was getting quite... disturbed, really. 260 00:18:23,600 --> 00:18:28,295 Er, she had anxiety... and the self-harming. 261 00:18:29,400 --> 00:18:30,975 She never actually worked. 262 00:18:33,280 --> 00:18:35,775 Jane had Type 1 diabetes 263 00:18:35,800 --> 00:18:38,455 that she managed with insulin. 264 00:18:38,480 --> 00:18:42,055 Because we don't have the levels of the insulin on her admission bloods, 265 00:18:42,080 --> 00:18:45,215 we don't know whether she's done an intentional overdose 266 00:18:45,240 --> 00:18:46,975 or not taken enough of her insulin. 267 00:18:47,000 --> 00:18:49,575 She knows that too much of it can cause her harm, 268 00:18:49,600 --> 00:18:52,095 she also knows that too little can cause her harm. 269 00:18:52,120 --> 00:18:55,135 What we need to look at is whether this was actually 270 00:18:55,160 --> 00:18:56,815 an attempt to take her own life. 271 00:19:01,840 --> 00:19:05,575 Jane Hubberstey is a 47-year-old lady. 272 00:19:05,600 --> 00:19:10,775 She is the type of diabetic that requires insulin on a daily basis. 273 00:19:10,800 --> 00:19:17,495 She is in a situation where her blood sugar is much too high. 274 00:19:17,520 --> 00:19:20,015 This indicates she hasn't taken enough insulin. 275 00:19:21,360 --> 00:19:26,575 She also has a long-term history of mental health complaints, 276 00:19:26,600 --> 00:19:28,695 this has resulted in self-harm 277 00:19:28,720 --> 00:19:32,615 and some suicide attempts resulting in hospital admission. 278 00:19:35,040 --> 00:19:39,415 The question here is whether she's deliberately not taken her insulin, 279 00:19:39,440 --> 00:19:42,335 or alternatively, there's another process going on 280 00:19:42,360 --> 00:19:45,975 that is causing her to lose her diabetic control. 281 00:19:48,000 --> 00:19:51,775 What is going on is very unclear. 282 00:19:51,800 --> 00:19:53,975 This case will definitely go to inquest. 283 00:19:57,880 --> 00:19:59,655 You find yourself thinking about it. 284 00:19:59,680 --> 00:20:03,175 It's at the back your mind all the time, how sudden it was. 285 00:20:04,720 --> 00:20:06,415 Whatever the episode was... 286 00:20:07,960 --> 00:20:09,615 ...|'m interested to hear the evidence 287 00:20:09,640 --> 00:20:11,175 of what happened on that clay 288 00:20:11,200 --> 00:20:14,815 because there've been so many episodes before. 289 00:20:16,280 --> 00:20:19,775 I'd like to know the actual cause of death. 290 00:20:32,960 --> 00:20:37,335 NARRATOR: In Preston, Detective Inspector Paul Price 291 00:20:37,360 --> 00:20:39,935 is attending a Home Office post-mortem 292 00:20:39,960 --> 00:20:43,615 on an unidentified man found in a field. 293 00:20:43,640 --> 00:20:45,975 He had a bit of his ear that was missing. 294 00:20:46,000 --> 00:20:48,735 He also had a large gash to the side of his face. 295 00:20:48,760 --> 00:20:51,415 Difficult to say what could have caused that at the minute, 296 00:20:51,440 --> 00:20:53,295 but we've also gotta keep our options open. 297 00:20:53,320 --> 00:20:55,655 It could be the result of an assault, 298 00:20:55,680 --> 00:20:57,935 so that's something else we've gotta keep considered, 299 00:20:57,960 --> 00:20:59,015 just cos it's such a strange death. 300 00:21:05,080 --> 00:21:08,335 OK, heart valves are normal. 301 00:21:08,360 --> 00:21:11,535 The pulmonary arteries are clear. 302 00:21:11,560 --> 00:21:15,375 The coronaries have normal anatomy, 303 00:21:15,400 --> 00:21:17,575 there's no sign of a heart attack. 304 00:21:19,160 --> 00:21:22,735 And then next, this is the structures in the neck. 305 00:21:24,040 --> 00:21:26,375 Is there any chance that he's been strangled? 306 00:21:26,400 --> 00:21:29,255 Well, that's one of the things we're sort of looking for at the minute, 307 00:21:29,280 --> 00:21:31,575 just to see if there's injury to them. 308 00:21:33,480 --> 00:21:36,455 Ancl they're intact in this one, so... 309 00:21:39,000 --> 00:21:42,535 The brain is 13-92. 310 00:21:42,560 --> 00:21:44,975 OK, I'll have a little look at the brain further. 311 00:21:48,280 --> 00:21:51,615 There's some blood on it which shouldn't be there, 312 00:21:51,640 --> 00:21:55,935 and it can be a sign of injury to the head. 313 00:21:55,960 --> 00:21:57,855 Well, is that significant or not? 314 00:21:57,880 --> 00:22:01,415 The most common explanation for that is blunt head trauma. 315 00:22:02,520 --> 00:22:07,375 Ancl so what you normally find in a subdural haemorrhage that is fatal 316 00:22:07,400 --> 00:22:11,455 is a large mass of blood that is sort of compressing the brain. 317 00:22:11,480 --> 00:22:13,855 Now, we don't know if that picture here, 318 00:22:13,880 --> 00:22:18,175 but it could still represent a blunt impact of some kind 319 00:22:18,200 --> 00:22:19,895 to the head or face. 320 00:22:24,320 --> 00:22:27,255 In a way, we're sort of operating in the dark for a lot of this 321 00:22:27,280 --> 00:22:30,015 because we do not know who he is, we know nothing about him, 322 00:22:30,040 --> 00:22:32,295 we know nothing of his medical history, 323 00:22:32,320 --> 00:22:34,095 so no cause of death at this stage. 324 00:22:34,120 --> 00:22:36,975 I think we put the brain in fixative for a period of time 325 00:22:37,000 --> 00:22:40,015 so it then can be examined in much more detail 326 00:22:40,040 --> 00:22:43,295 than it would be if we were to just examine it now. OK. 327 00:22:43,320 --> 00:22:47,095 These samples will be sent to the laboratory, made into slides. 328 00:22:47,120 --> 00:22:50,375 I'll examine those to get an idea of what diseases are present, 329 00:22:50,400 --> 00:22:52,855 and we need to do the toxicology. 330 00:22:52,880 --> 00:22:55,735 Ancl I think that will hopefully allow us 331 00:22:55,760 --> 00:23:00,455 to come to some sort of resolution as to why he's died, if possible. 332 00:23:00,480 --> 00:23:01,695 OK. 333 00:23:06,600 --> 00:23:08,615 It's a really tragic set of circumstances. 334 00:23:08,640 --> 00:23:12,055 I mean, this gentleman will have friends, family somewhere 335 00:23:12,080 --> 00:23:14,615 that we've not managed to identify yet. 336 00:23:16,040 --> 00:23:18,375 Ancl to think that he's going through this process today 337 00:23:18,400 --> 00:23:21,375 and none of his friends and family are aware. 338 00:23:23,920 --> 00:23:27,135 The joint investigation by the coroner and police 339 00:23:27,160 --> 00:23:28,935 into the man's death 340 00:23:28,960 --> 00:23:32,495 is now dependant on the forensic pathologist's report. 341 00:23:35,120 --> 00:23:39,455 Meanwhile, DI Price needs to continue his police search 342 00:23:39,480 --> 00:23:41,375 to find out who the man is. 343 00:23:43,560 --> 00:23:45,815 We've had a potential match come back 344 00:23:45,840 --> 00:23:47,695 from the facial recognition check. 345 00:23:47,720 --> 00:23:50,055 In terms of his nose, in terms of his eyes, 346 00:23:50,080 --> 00:23:52,495 I can see, certainly see, why this has come back as a match 347 00:23:52,520 --> 00:23:53,935 cos they are very similar. 348 00:23:53,960 --> 00:23:57,495 So really hopeful that it could be the male. 349 00:24:02,520 --> 00:24:06,335 We have identified family members who are still local in Preston. 350 00:24:09,000 --> 00:24:11,575 Hopefully, this gives us that lead to identify this male. 351 00:24:21,560 --> 00:24:25,335 47-year-oldjane Hubberstey died in hospital 352 00:24:25,360 --> 00:24:28,855 after being in a coma for 13 weeks. 353 00:24:28,880 --> 00:24:31,855 She had consented to become a tissue donor. 354 00:24:31,880 --> 00:24:35,575 Investigations into Jane's death are ongoing. 355 00:24:35,600 --> 00:24:39,815 However, the coroner has agreed that the donation can go ahead. 356 00:24:41,560 --> 00:24:43,895 We looked into her medical history 357 00:24:43,920 --> 00:24:47,735 and she has suitability for corneal donation only. 358 00:24:47,760 --> 00:24:48,975 NURSE: Everyone ready? Yeah. 359 00:24:49,000 --> 00:24:50,575 Ready, steady, slide. 360 00:24:52,880 --> 00:24:54,335 And ready, steady, to“. 361 00:24:58,760 --> 00:25:02,175 Our coroner is really supportive of donation. 362 00:25:02,200 --> 00:25:04,775 He feels that this very much wouldn't interfere 363 00:25:04,800 --> 00:25:06,455 with his investigation work. 364 00:25:06,480 --> 00:25:10,695 'The coroner can then investigate and look at the cause of death.' 365 00:25:17,160 --> 00:25:20,775 So, first, Cecily's gonna gently dissect the very fine layer 366 00:25:20,800 --> 00:25:23,735 of membrane and connective tissue that surrounds the eye. 367 00:25:25,520 --> 00:25:27,855 So, we have a lot more flexibility than an organ. 368 00:25:27,880 --> 00:25:29,415 They don't have to match it to blood type. 369 00:25:29,440 --> 00:25:32,335 So these can go in for anyone who needs corneal transplants. 370 00:25:33,720 --> 00:25:36,415 Time? 17:30. 371 00:25:39,360 --> 00:25:42,535 This set of eyes will go into the tissue bank to be prepared, 372 00:25:42,560 --> 00:25:45,655 and then they'll send them out to an ophthalmic surgeon. 373 00:25:45,680 --> 00:25:48,055 We're so low on corneas. 374 00:25:48,080 --> 00:25:50,415 I think a lot of the time when people realise 375 00:25:50,440 --> 00:25:53,295 that this can help restore the sight of up to ten people 376 00:25:53,320 --> 00:25:55,655 is when they think, "That's a huge thing to do 377 00:25:55,680 --> 00:25:57,975 "for someone else, and such a life changing thing." 378 00:26:00,880 --> 00:26:03,335 Her next of kin was really pleased 379 00:26:03,360 --> 00:26:05,535 that this is something she'd be able to do. 380 00:26:07,480 --> 00:26:10,735 If some good can come out of this situation, 381 00:26:10,760 --> 00:26:14,055 you know, power to their elbow, let them do it. 382 00:26:14,080 --> 00:26:17,495 If it can do somebody else some good, then all the better. 383 00:26:19,400 --> 00:26:21,735 The Coroner's team are investigating 384 00:26:21,760 --> 00:26:24,455 the circumstances around Jane's death. 385 00:26:27,040 --> 00:26:28,375 JEAN ON PHONE: 386 00:26:28,400 --> 00:26:30,255 Hi, is that Jean? 387 00:26:30,280 --> 00:26:34,015 I've spoken with the medical examiners here at the hospital. 388 00:26:34,040 --> 00:26:36,375 Ancl they've talked about the previous admissions 389 00:26:36,400 --> 00:26:38,095 in January and March. 390 00:26:39,240 --> 00:26:43,815 OK, so were those intentional overdoses of insulin 391 00:26:43,840 --> 00:26:46,655 or she's intentionally not taken enough insulin, 392 00:26:46,680 --> 00:26:48,455 are you aware of those? 393 00:26:51,640 --> 00:26:54,735 All those episodes where she's been brought in to hospital, 394 00:26:54,760 --> 00:26:57,295 she's rung the ambulance herself and got admitted, 395 00:26:57,320 --> 00:26:59,975 it wasn't that somebody's found her? 396 00:27:03,480 --> 00:27:08,455 Yeah. 397 00:27:11,520 --> 00:27:13,935 I believe she was found collapsed at the home address. 398 00:27:13,960 --> 00:27:16,015 Was she on the floor? 399 00:27:16,040 --> 00:27:18,055 She was on her bed, OK. That's fine. 400 00:27:18,080 --> 00:27:20,935 Have you found any notes, were there any notes or anything like that? 401 00:27:20,960 --> 00:27:22,615 No notes, OK. 402 00:27:24,120 --> 00:27:27,615 Do you know if she expressed any suicidal thoughts 403 00:27:27,640 --> 00:27:29,975 or anything about mental health, about self-harming? 404 00:27:34,800 --> 00:27:36,415 Mm-hm. 405 00:27:40,760 --> 00:27:41,775 OK. 406 00:27:46,760 --> 00:27:51,175 She's got an history of self-harming right going back a long time. 407 00:27:51,200 --> 00:27:55,575 I first became aware of it when she was in her early teens, 408 00:27:55,600 --> 00:27:59,455 but she told me not that long ago that she started when she was eight. 409 00:28:01,880 --> 00:28:05,015 You would sense her mood, that she was down. 410 00:28:05,040 --> 00:28:08,735 She would sometimes be very quiet. 411 00:28:08,760 --> 00:28:11,935 Ancl I knew that she was feeling, you know, particularly depressed. 412 00:28:13,400 --> 00:28:16,375 Ancl that she was, in moods like that, 413 00:28:16,400 --> 00:28:18,015 she was liable to self-harm. 414 00:28:19,640 --> 00:28:20,975 She just built up... 415 00:28:22,240 --> 00:28:24,575 ...to a crisis... 416 00:28:24,600 --> 00:28:30,255 where to hurt herself physically was a substitute for mental pain. 417 00:28:31,680 --> 00:28:36,535 You know, she'd been cutting herself or overdosing, 418 00:28:36,560 --> 00:28:38,375 or she'd had an overnight in hospital 419 00:28:38,400 --> 00:28:41,255 because she overdosed or something. 420 00:28:41,280 --> 00:28:45,055 She would tell me. It would sort of come out. 421 00:28:45,080 --> 00:28:48,615 Ancl I think, to that extent, she trusted me. 422 00:28:50,920 --> 00:28:52,295 She knew I was there for her. 423 00:28:53,720 --> 00:28:56,055 I hope I gave her enough of my time. 424 00:29:05,280 --> 00:29:07,615 This is probably a difficult case 425 00:29:07,640 --> 00:29:09,975 because we're not quite sure what's happened. 426 00:29:10,000 --> 00:29:11,935 We don't know whether she's intentionally tried 427 00:29:11,960 --> 00:29:14,855 to take her own life, cos there's no note left. 428 00:29:14,880 --> 00:29:19,255 We don't know whether she's just had a natural medical event. 429 00:29:19,280 --> 00:29:22,935 It's really hard because if somebody doesn't leave a suicide note, 430 00:29:22,960 --> 00:29:25,415 depending on how they've died... 431 00:29:25,440 --> 00:29:27,855 it can make it quite difficult for us to understand 432 00:29:27,880 --> 00:29:30,295 whether there was an intention there to take their own life. 433 00:29:38,080 --> 00:29:40,655 The identity of a man found dead 434 00:29:40,680 --> 00:29:44,215 in a rural area of Lancashire is still unknown. 435 00:29:46,680 --> 00:29:51,055 His face has been matched with that of a man on the police database, 436 00:29:51,080 --> 00:29:54,975 so DI Paul Price is heading to meet the man's family. 437 00:29:55,000 --> 00:29:58,255 We're going to the address of a family member, 438 00:29:58,280 --> 00:29:59,895 which is the mate's mother. 439 00:29:59,920 --> 00:30:03,415 It's a bit of a strange feeling to have to make this journey 440 00:30:03,440 --> 00:30:05,215 because you're kind of in two minds with it. 441 00:30:05,240 --> 00:30:09,135 Whilst I'm keen to identify the male, 442 00:30:09,160 --> 00:30:11,575 the family that we're going to see, that's a loved one, 443 00:30:11,600 --> 00:30:13,095 that's someone in their life. 444 00:30:13,120 --> 00:30:17,335 So I have to be really sensitive in how I conduct this inquiry. 445 00:30:30,200 --> 00:30:31,975 KNOCKING 446 00:30:34,000 --> 00:30:36,815 Hiya, sorry to bother you, I'm from the police, nothing to worry about. 447 00:30:36,840 --> 00:30:38,735 Am I all right stepping in for a second? 448 00:30:38,760 --> 00:30:39,935 Thank you. 449 00:30:44,360 --> 00:30:46,695 On the seventh of December, 450 00:30:46,720 --> 00:30:49,455 there was a male who was found deceased up at Rivington. 451 00:30:52,640 --> 00:30:54,095 And what makes you say that? 452 00:30:58,360 --> 00:31:00,215 OK, if you're saying you've seen him, then... 453 00:31:00,240 --> 00:31:02,615 Thank you, cheers. Bye-bye. 454 00:31:09,000 --> 00:31:11,455 Spoken to mother of this male, 455 00:31:11,480 --> 00:31:14,535 and the chances of it being him are highly unlikely. 456 00:31:19,760 --> 00:31:21,775 You want to be able to give people answers. 457 00:31:21,800 --> 00:31:23,375 You wanna get answers for yourself as well. 458 00:31:24,520 --> 00:31:27,255 Every avenue we're going down, we're just hitting dead-ends. 459 00:31:40,040 --> 00:31:41,935 Hi, Amy. Morning, Alice. 460 00:31:41,960 --> 00:31:44,295 I just wondered if you've got an update on Jane Hubberstey? 461 00:31:44,320 --> 00:31:47,695 Ah, yes, so we spoke to the diabetic clinician, 462 00:31:47,720 --> 00:31:49,095 who was a registrar. OK. 463 00:31:49,120 --> 00:31:51,575 His sort of conclusion on events that have happened 464 00:31:51,600 --> 00:31:56,015 is there were no admission bloods taken or insulin levels. 465 00:31:56,040 --> 00:31:58,375 And this was purely because it wouldn't have changed 466 00:31:58,400 --> 00:32:00,735 the outcome or the treatment Jane would have received. OK. 467 00:32:00,760 --> 00:32:05,375 It's really difficult to try and pinpoint what her intentions were. 468 00:32:05,400 --> 00:32:07,135 OK. That's great. 469 00:32:07,160 --> 00:32:09,535 OK. Brilliant, thanks, Alice. Thanks for your help, thank you. 470 00:32:12,120 --> 00:32:15,255 It's the day of Jane Hubberstey's funeral, 471 00:32:15,280 --> 00:32:19,055 and her family is still searching for answers. 472 00:32:19,080 --> 00:32:22,215 I shall rememberjane fondly. 473 00:32:25,720 --> 00:32:27,735 I think the whole thing, you know, 474 00:32:27,760 --> 00:32:29,975 in some ways an accident waiting to happen. 475 00:32:31,760 --> 00:32:33,455 Ancl it may have been an accident. 476 00:32:38,000 --> 00:32:43,495 My feeling is that she didn't actually, deep down, want to die. 477 00:32:54,920 --> 00:32:58,255 In the case of the unknown man found in a field, 478 00:32:58,280 --> 00:33:01,295 Lancashire Police have commissioned a portrait artist 479 00:33:01,320 --> 00:33:04,375 to create the most accurate image possible 480 00:33:04,400 --> 00:33:07,135 in a last attempt to identify him. 481 00:33:09,800 --> 00:33:14,215 I need to work from post-mortem photographs. 482 00:33:14,240 --> 00:33:18,975 My job is to make drawings presenting him 483 00:33:19,000 --> 00:33:21,215 as much like he might have looked in life. 484 00:33:28,440 --> 00:33:33,015 You just have to hope that somebody will recognise 485 00:33:33,040 --> 00:33:36,055 and say "Hang on, that's my neighbour," 486 00:33:36,080 --> 00:33:39,215 or "I know him, I've seen him in the shop." 487 00:33:47,840 --> 00:33:51,055 This is just about clone. I think so. 488 00:33:53,560 --> 00:33:56,535 Ancl then I'm going to try and pack it very carefully 489 00:33:56,560 --> 00:33:58,735 ready for its journey to Lancashire. 490 00:34:19,480 --> 00:34:21,815 DI PRICE: I've only ever seen him at his worst, 491 00:34:21,840 --> 00:34:24,095 so seeing him how you would expect him to look 492 00:34:24,120 --> 00:34:26,575 when he was alive and well, 493 00:34:26,600 --> 00:34:28,775 it's a bit of a strange feeling, to be honest. 494 00:34:30,240 --> 00:34:33,015 So, my plan now is I'm gonna take some photographs, 495 00:34:33,040 --> 00:34:36,135 get that out to Interpol, get it out to the NCA. 496 00:34:36,160 --> 00:34:39,535 He might not be local to Lancashire. He might be from another country. 497 00:34:39,560 --> 00:34:40,975 So, this image, 498 00:34:41,000 --> 00:34:44,335 I'm pinning quite a lot on getting me an answer 499 00:34:44,360 --> 00:34:46,535 for this man and for his family. 500 00:34:53,920 --> 00:34:55,855 NARRATOR: The police and the coroner 501 00:34:55,880 --> 00:34:58,575 have been working alongside each other 502 00:34:58,600 --> 00:35:00,935 to try and establish both the identity 503 00:35:00,960 --> 00:35:05,735 and the cause of death of a man found in a field north of Bolton. 504 00:35:05,760 --> 00:35:09,415 The Home Office post-mortem report has been returned. 505 00:35:09,440 --> 00:35:11,015 At the moment, 506 00:35:11,040 --> 00:35:15,575 there is no third party suspected of being involved in his death. 507 00:35:15,600 --> 00:35:19,015 That does not mean that a third party did not take him 508 00:35:19,040 --> 00:35:21,415 to that location and leave him there. 509 00:35:21,440 --> 00:35:23,815 Toxicology in this man was negative 510 00:35:23,840 --> 00:35:27,455 for any compounds that might have caused or contributed to his death. 511 00:35:29,000 --> 00:35:33,455 There are three possible causes raised by the post-mortem report. 512 00:35:33,480 --> 00:35:37,775 Heart disease, fatty liver or possible hyperthermia. 513 00:35:37,800 --> 00:35:39,815 But there is no way to determine, 514 00:35:39,840 --> 00:35:42,495 without the information, as to how he got them, 515 00:35:42,520 --> 00:35:44,855 what his past medical history is, 516 00:35:44,880 --> 00:35:47,735 as to which one is his cause of death. 517 00:35:47,760 --> 00:35:50,655 If the family were found, we have a name. 518 00:35:50,680 --> 00:35:55,295 With a name, we may have a chance of contacting his GP. 519 00:35:55,320 --> 00:35:58,175 Therefore, his cause of death is unascertained. 520 00:36:00,680 --> 00:36:05,135 It's the day of 47-year-old Jane Hubberstey's inquest. 521 00:36:05,160 --> 00:36:06,615 For the first time, 522 00:36:06,640 --> 00:36:10,335 all those involved in Jane's case before her death 523 00:36:10,360 --> 00:36:13,575 will come together to present their evidence. 524 00:36:13,600 --> 00:36:15,335 JEAN: I don't know what I'm expecting. 525 00:36:15,360 --> 00:36:18,175 I hope it's a verdict of misadventure. 526 00:36:21,440 --> 00:36:24,255 One of the strongest pieces of evidence here 527 00:36:24,280 --> 00:36:27,455 is the repeated assertion byjane 528 00:36:27,480 --> 00:36:29,815 that she's going to take her own life. 529 00:36:29,840 --> 00:36:32,695 But this does not mean that she would do so. 530 00:36:32,720 --> 00:36:34,735 People will say this quite often, 531 00:36:34,760 --> 00:36:38,215 but not actually intend to take their own life. 532 00:36:38,240 --> 00:36:42,575 The difficulty here is working out what Jane's intentions were 533 00:36:42,600 --> 00:36:45,615 at the time, if indeed she had any. 534 00:36:45,640 --> 00:36:49,495 We have the physical healthcare trust coming 535 00:36:49,520 --> 00:36:52,735 with their clinicians to talk about the hospital admission. 536 00:36:52,760 --> 00:36:56,815 We have the mental healthcare trust coming to talk 537 00:36:56,840 --> 00:37:01,535 about Jane's mental health conditions and how she was behaving. 538 00:37:01,560 --> 00:37:04,175 With any case, you do not pre-judge the outcome. 539 00:37:06,120 --> 00:37:07,815 Is it jean? It is. 540 00:37:07,840 --> 00:37:10,095 Alice Swarbrick, coroner's office manager. 541 00:37:10,120 --> 00:37:11,615 How are you feeling? 542 00:37:11,640 --> 00:37:13,415 OK. OK. 543 00:37:13,440 --> 00:37:15,775 So, the coroner's provided a witness list, 544 00:37:15,800 --> 00:37:19,415 each individual witness will give their evidence one by one, 545 00:37:19,440 --> 00:37:21,215 and at the end of each witness, 546 00:37:21,240 --> 00:37:24,495 we'll then ask you, "Do you have any questions for that witness?" 547 00:37:26,080 --> 00:37:30,575 This is one of these inquests where you're walking into court 548 00:37:30,600 --> 00:37:33,535 with information 549 00:37:33,560 --> 00:37:37,535 but no idea of which way the case is going to develop. 550 00:37:37,560 --> 00:37:40,055 OK? All rise. 551 00:37:48,240 --> 00:37:50,495 DR ADELEY: I'm very sorry that you're attending court 552 00:37:50,520 --> 00:37:52,855 under these circumstances. 553 00:37:52,880 --> 00:37:55,215 Could you tell me the position that you hold? 554 00:37:55,240 --> 00:37:58,655 I'm a respiratory consultant at the Royal Preston Hospital 555 00:37:58,680 --> 00:38:01,255 working on the respiratory high care unit. 556 00:38:01,280 --> 00:38:05,815 In terms of precipitating factors for a diabetic ketoacidosis, 557 00:38:05,840 --> 00:38:08,175 one of these, I believe, is infection. 558 00:38:08,200 --> 00:38:12,495 Were there any signs of infection when she was admitted to hospital? 559 00:38:12,520 --> 00:38:14,215 So when she was admitted, 560 00:38:14,240 --> 00:38:17,495 she did have raised inflammatory markers in the white cell count, 561 00:38:17,520 --> 00:38:20,495 which did rise quite rapidly. 562 00:38:20,520 --> 00:38:23,055 There was some evidence of chest infection. 563 00:38:23,080 --> 00:38:25,895 What were her inflammatory markers on admission, please? 564 00:38:25,920 --> 00:38:28,255 Her white cell count was 9.92, 565 00:38:28,280 --> 00:38:32,135 and it went up to 23 within a matter of hours. 566 00:38:32,160 --> 00:38:34,935 What would your interpretation of that be? 567 00:38:34,960 --> 00:38:39,175 For me, that would indicate there was probable underlying infection. 568 00:38:40,200 --> 00:38:42,095 Taking the picture as a whole, 569 00:38:42,120 --> 00:38:45,015 it looks like she has developed an infection 570 00:38:45,040 --> 00:38:48,095 leading towards a diabetic ketoacidosis, 571 00:38:48,120 --> 00:38:50,935 not the other way around. Yes. 572 00:38:50,960 --> 00:38:54,055 I agree with that looking at the blood markers at that time. 573 00:38:54,080 --> 00:38:56,535 Jane is losing diabetic control 574 00:38:56,560 --> 00:39:00,255 because she has got a serious and underlying infection. 575 00:39:00,280 --> 00:39:03,535 So, consequently, the conclusion that I propose to return 576 00:39:03,560 --> 00:39:08,615 in this case is thatjane Elizabeth Hubberstey died of natural causes. 577 00:39:12,880 --> 00:39:17,255 This was not on my horizon when I walked into court. 578 00:39:17,280 --> 00:39:21,655 The inquest unfolded in a very unexpected manner. 579 00:39:21,680 --> 00:39:24,335 On questioning the hospital consultant, 580 00:39:24,360 --> 00:39:26,375 it rapidly started to become apparent 581 00:39:26,400 --> 00:39:29,015 thatjane had an underlying pneumonia, 582 00:39:29,040 --> 00:39:31,375 a significant lung infection, 583 00:39:31,400 --> 00:39:34,215 and this has destroyed her diabetic control. 584 00:39:34,240 --> 00:39:38,295 Ancl she's collapsed before she can give herself more insulin. 585 00:39:38,320 --> 00:39:42,775 Because the evidence given by the clinician developed so quickly 586 00:39:42,800 --> 00:39:44,495 and so comprehensively, 587 00:39:44,520 --> 00:39:48,175 there is then no need to consider the mental health team's, 588 00:39:48,200 --> 00:39:49,895 "Was she trying to take her own life? 589 00:39:49,920 --> 00:39:52,695 "Was she crying for help?" 590 00:39:52,720 --> 00:39:54,415 Because that's now irrelevant. 591 00:39:54,440 --> 00:39:56,295 This is a physical illness 592 00:39:56,320 --> 00:39:59,655 that is driving the entire process and causing her death. 593 00:40:18,960 --> 00:40:20,775 JEAN: I, er... 594 00:40:20,800 --> 00:40:24,775 I used to take her shopping every week. 595 00:40:24,800 --> 00:40:26,975 We often had pub lunch afterwards. 596 00:40:34,440 --> 00:40:36,375 As you reflect on it, 597 00:40:36,400 --> 00:40:40,335 I think you'll always think, "Could have I clone more? 598 00:40:40,360 --> 00:40:42,095 "Should I have clone more?" 599 00:40:42,120 --> 00:40:45,415 I think that's just generally part of the grieving process. 600 00:40:48,000 --> 00:40:49,215 It does seem... 601 00:40:50,600 --> 00:40:53,135 ...less tragic that... 602 00:40:54,240 --> 00:40:57,055 ...that she died of natural causes. 603 00:40:57,080 --> 00:40:58,495 Still very sad, of course. 604 00:40:58,520 --> 00:41:01,535 But deep down, I don't think she wanted to die. 605 00:41:04,840 --> 00:41:06,815 Jane liked it here, 606 00:41:06,840 --> 00:41:12,015 and she always ordered gammon, egg and chips... 607 00:41:13,360 --> 00:41:15,295 ...with garden peas. 608 00:41:15,320 --> 00:41:18,455 Woe betide me if I ordered mushy peas. 609 00:41:35,520 --> 00:41:40,255 With no official cause of death, identity, or next of kin, 610 00:41:40,280 --> 00:41:44,135 the unknown man found in a field remains in the mortuary 611 00:41:44,160 --> 00:41:46,575 at Royal Preston Hospital. 612 00:41:46,600 --> 00:41:49,295 MORTUARY WORKER: Right. Everything's locked up. 613 00:41:49,320 --> 00:41:51,495 Heater's put out. We're done. 614 00:41:58,120 --> 00:42:00,615 I've never been in this situation before 615 00:42:00,640 --> 00:42:03,495 where we have no idea who this person is. 616 00:42:03,520 --> 00:42:06,335 We can't trace relatives because of this. 617 00:42:06,360 --> 00:42:09,655 We're starting to get to the point where we will have to do something 618 00:42:09,680 --> 00:42:13,535 with his body, and we will have to look at options of do we bury him? 619 00:42:13,560 --> 00:42:15,815 Does he remain in the mortuary fridge? 620 00:42:15,840 --> 00:42:18,175 Does he need freezing? 621 00:42:18,200 --> 00:42:22,735 It's just sad that someone out there hasn't noticed he's missing. 622 00:42:28,400 --> 00:42:31,575 DI PRICE: Failing to identify him, I'm absolutely gutted to be honest. 623 00:42:37,840 --> 00:42:40,095 I really thought, after three months' time, 624 00:42:40,120 --> 00:42:41,415 we'd have got that name. 625 00:42:44,280 --> 00:42:46,935 I will continue to do what I can locally. 626 00:42:46,960 --> 00:42:50,375 I'll keep linking him with the NCA, I'll keep linking him with Interpol 627 00:42:50,400 --> 00:42:53,335 just because all it takes is that one call. 628 00:43:06,480 --> 00:43:09,855 I received an email from a gentleman in Poland 629 00:43:09,880 --> 00:43:12,175 stating that he's not seen or heard from his brother 630 00:43:12,200 --> 00:43:13,695 since November last year, 631 00:43:13,720 --> 00:43:16,455 which obviously fits in with the timeline. 632 00:43:16,480 --> 00:43:19,015 He said that there was a similarity between his brother 633 00:43:19,040 --> 00:43:21,415 and the artist's impression. 634 00:43:21,440 --> 00:43:24,095 The key thing as well really was the orange Casio watch 635 00:43:24,120 --> 00:43:26,895 that, he believes, is his brother's watch. 636 00:43:26,920 --> 00:43:30,495 He last physically saw his brother 20 years ago. 637 00:43:30,520 --> 00:43:35,295 So the next step is try and tie the male via his DNA. 638 00:43:35,320 --> 00:43:38,615 We're gonna have to look at family members and familial DNA. 639 00:43:38,640 --> 00:43:40,655 This is massively important for me. 640 00:43:40,680 --> 00:43:43,935 It's a case which I've really taken to heart over the past few months, 641 00:43:43,960 --> 00:43:46,695 because there's a family, someone's lost a brother, 642 00:43:46,720 --> 00:43:49,055 someone's lost a relative. 643 00:43:49,080 --> 00:43:53,295 So for me, it's vital that we're able to identify this male. 644 00:44:10,280 --> 00:44:13,935 Received a referral from the police for a young lady, 645 00:44:13,960 --> 00:44:17,255 and sadly, she was found unresponsive and cold in bed. 646 00:44:17,280 --> 00:44:20,295 I've not found anything which explains her sudden death. 647 00:44:20,320 --> 00:44:23,975 There has to be a reason why a 34-year-old has cited. 648 00:44:24,000 --> 00:44:25,535 The family need an answer 649 00:44:25,560 --> 00:44:29,095 as to what happened in this sudden and unexpected death. 650 00:44:29,120 --> 00:44:30,695 There's an article appealing 651 00:44:30,720 --> 00:44:32,255 to trace the family of a man found dead. 652 00:44:32,280 --> 00:44:33,535 The thing I want to know is 653 00:44:33,560 --> 00:44:35,815 what could have contributed towards his death? 654 00:44:35,840 --> 00:44:38,015 We are running out of time.