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