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The Investigation of Events that followed the death of Cyril Mark Isaacs
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CHAPTER 1

The death of Cyril Mark Isaacs

Introduction
This chapter describes the circumstances of Mr Isaacs' death and events that followed in the interval before his burial the following day.

Sources of information

-  Mrs Isaacs' statement for the Chief Medical Officer's Summit;

Annex 1

-  witness statements at the inquest into Mr Isaacs' death;

Annexes 9, 10, 11, 12, 13

-  records provided by Greater Manchester police;

-  recollections of Mrs Isaacs, Dr Rosenberg, Dr Farrand and Mr Walkden.

Background

Although the starting point of this investigation is the death of Mr Isaacs on 26 February 1987, aged 54, it is important to include in the record some relevant details of his mental health shortly before his death. This is to provide the context for concerns expressed later by his family. It is also important to emphasise Mr Isaacs' and his family's religious beliefs. The disregard of Mr Isaacs' mental health problems before his death, and of his religious beliefs, became the cause of great distress to Mrs Isaacs and her son, Austin.

Mr Isaacs' health

In the five months before his untimely death, Mr Isaacs had experienced depressive mental illness and had been under medical care from a number of both private and NHS doctors. He had taken three overdoses, two of these in the same weekend within one month of his death. Mr Isaacs had also received in-patient psychiatric care as a voluntary patient. He had been prescribed medication at the time of his death and was due to see his general practitioner, Dr Rosenberg, on 27 February.



Annex 1

Mr Isaacs' religious beliefs

Mr Isaacs and his family are Orthodox Jews and follow the observation of Jewish Law.
The afternoon of Thursday 26 February 1987
In the early afternoon of 26 February Mrs Isaacs made an emergency call to the police, as she had been frightened after her husband had grabbed her wrists. The police had had to trace the telephone call after Mr Isaacs pulled the telephone plug from its socket whilst Mrs Isaacs was starting to speak. Calm was restored by the time the police arrived. Mrs Isaacs shortly after telephoned a friend, Mrs Eunice Foster, who came to see both Mr and Mrs Isaacs. Not long after Mrs Foster had left, Mr Isaacs for the second time that day grabbed his wife's wrists. Mrs Isaacs decided she would stay that night at Mrs Foster's house as she lived nearby.

Later that afternoon Mrs Isaacs needed to return home to collect some overnight clothes. As she was concerned about going home on her own, she asked the late Mr Clive Lingard, a relative, to accompany her to the house.
On arrival Mrs Isaacs noticed that the downstairs rooms were in darkness but there was a light on upstairs. After entering the house Mrs Isaacs asked Mr Lingard to go upstairs and switch the light off. Mr Lingard proceeded up the staircase as requested, but immediately turned round and guided Mrs Isaacs into the kitchen saying at the same time there had been a terrible accident, or words to that effect. Mr Lingard immediately telephoned for the police and while awaiting their arrival prevented Mrs Isaacs from going to the staircase.
Two police officers attended in response to Mr Lingard's 999 call at 7.00pm, arriving at the house within minutes. WPC Sharon Rigby, one of the officers, later wrote the report of the visit and provided a statement for the Coroner. This statement formed part of the evidence considered at the inquest. Although every effort was made to identify the second police officer in attendance, this has not been possible. The documents that still exist do not mention the name or number of the second officer.
Soon after the arrival of the police Mrs Isaacs was told that her husband was dead. His body, which had been found suspended through the hatch into the loft, was taken down. At 7.50pm Dr Abendstern, the duty police surgeon, confirmed that life was extinct.

Annex 9
A fuller account of events as recalled by Mrs Isaacs is at Annex 1.
Annex 1
First mention of a post mortem
While awaiting the arrival of the police surgeon, Mrs Isaacs was required to remain in the kitchen in the company of WPC Rigby. When Mrs Isaacs tried to leave the kitchen she was restrained from so doing. During this time, the probability of a post mortem to determine the cause of death was first mentioned.
Mrs Isaacs replied that Jewish Law forbade post mortems and, as the cause of death was obvious, no post mortem was needed to find out why Mr Isaacs had died.
When Mrs Isaacs was informed that Mr Isaacs' body would be removed to the mortuary she pointed out that in accordance with Jewish Law his body should remain in the house so that prayers could be said. A person of the Jewish faith should also be present to sit with Mr Isaacs' body during the night prior to burial, which must take place the following day.
Mrs Isaacs also asked the police if they would be contacting the hospitals where her husband had been a patient. The police asked her for details of Mr Isaacs' general practitioner. Mrs Isaacs advised that Dr Bethel Rosenberg was the family general practitioner. Mrs Isaacs believed that Dr Rosenberg would be able to confirm to the police and the Coroner that no post mortem was necessary because of Mr Isaacs' mental illness prior to and at the time of his death and in view of Mr Isaacs' religious beliefs.
Monday 2 March 1987 was mentioned by the police as the likely date of the post mortem. Mrs Isaacs stressed to the police that her husband had to be buried as soon as possible the following day, Friday 27 February, in order to meet the requirements of Jewish Law.
Mrs Isaacs spoke to Dr Rosenberg on the telephone. He was unable to attend and recommended that Mrs Isaacs should have an injection so that she would sleep. Dr Rosenberg would have arranged for this but Mrs Isaacs did not wish to receive sedation.
While the police records of what was said to Mrs Isaacs no longer exist, in the interval before Mr Isaacs' body was removed from the house, Mrs Isaacs was asked a number of questions by the police and a statement was obtained from her.
It was Mrs Isaacs' wish that their son, Austin, should arrive home before his father's body was removed. While the police were continuing their immediate investigations, arrangements were made through a relative for Austin to return home from University in London. However, he was not able to arrive until the early hours of the following morning due to distance and time factors. Austin was distressed when he arrived home and angry that his father's body had been taken from the house without the permission of the family.

Removal of Mr Isaacs' body to Prestwich mortuary

Once the police had fully documented the scene of Mr Isaacs' death, his body was removed to the mortuary at Prestwich Hospital which at that time served both as a hospital and public mortuary. The firm of local undertakers on duty for the police were called to convey the body to the mortuary. The time of arrival was logged in the mortuary at 20.45(1). Mrs Isaacs was unaware that undertakers had been called to transfer Mr Isaacs' body as she had assumed an ambulance would be called for this purpose.
As Mr Isaacs' death was 'unnatural', the police reported his death to the office of the Coroner for North Manchester Police District.
Mrs Isaacs was later to complain that on the day of Mr Isaacs' death, her rights and those of her husband had been violated in the following ways:

-  the police had unnecessarily restrained her in the kitchen while they investigated her husband's death upstairs;

-  there was no justification for the removal of Mr Isaacs' body from the house until her son had returned home;

-  removal of Mr Isaacs' body to Prestwich mortuary prevented the observance of the requirements of Jewish Law;

- she was required to sign a statement, the contents of which did not reflect the words she had used when speaking to the police. This statement was taken at a time when Mrs Isaacs was greatly distressed and she believes she signed under duress, as it contained information that was not factually correct;

- in respect of the foregoing point, Mrs Isaacs is clear that she did not see her husband's body before it was removed from the family home and therefore she could not have identified him as she had been prevented from going upstairs by the police before the removal of Mr Isaacs' body;

- no one told her that the Coroners Rules enabled her to have an independent representative at the post mortem.

These are not matters that come within the scope of my investigation, but Chapter 45 is relevant to the observance of religious rituals when these do not interfere with the investigation undertaken for the Coroner.
Friday 27 February 1987
Early in the morning the police contacted Mrs Isaacs to say that the post mortem would take place on Monday 2 March but that she should attend the Coroner's Court in Rochdale that morning for the opening of the inquest into the death of her husband.
Mrs Isaacs again pointed to the requirement in Jewish Law that the burial should take place that day. The fact that Mr Isaacs was Jewish must then have been recognised by a member of the Coroner's staff as arrangements were made for the post mortem to be brought forward, and the examination took place at 11.00am(1).
The Chazan from the Whitefield and Hebrew Synagogues, of which the Isaacs family were members, came round in the early morning to see Mrs Isaacs and her son, Austin. The Chazan also spoke to the Coroner's office to arrange a time for the burial. This call was made from Mrs Isaacs' home as she was leaving to go to the Coroner's Court.
Post mortem examinations undertaken for the Coroner at Prestwich mortuary were normally scheduled for 3.00pm. However, the rescheduling of the post mortem followed an established procedure when the deceased was Jewish, through which the Coroner's office in Rochdale would try to arrange for the post mortem to be brought forward to enable the burial to take place the same day, as required by Jewish Law.
Meanwhile, the synagogue at which Mr Isaacs worshipped, and the Burial Board to which he subscribed, had set in train the arrangements for his burial according to Orthodox Jewish Rites. As 27 February was a winter Friday, it would be particularly important that the burial was concluded before the start of the Sabbath.
Later in the morning Dr Rosenberg called at the family home.
The Coroner's office instructed Dr R J Farrand to carry out the post mortem. Dr Farrand was the pathologist who in 1987 carried out most of the Coroner's post mortems at Prestwich mortuary. Mr Isaacs' body was identified to Dr Farrand by WPC Rigby, who had been in attendance the previous evening. Mr Denis Walkden, the mortician at Prestwich Hospital, is the only other person known to have been present at the post mortem.
None of those who were present at the post mortem can now recall the examination of Mr Isaacs and the removal of his brain, see Chapter 2. The time of removal of Mr Isaacs' brain is, however, clearly recorded as 11.15am in the brain books held in Manchester University. It is clear that the brain was not returned to Mr Isaacs' body.
Goldfines, the Jewish undertakers in Manchester, were waiting at Prestwich mortuary to receive Mr Isaacs' body before the post mortem examination was completed. On completion, the body was released by the Coroner into the care of Goldfines so that the proper rituals of the Jewish faith could be undertaken before burial.
In accordance with practice in 1987, a telephone call would have been made from the mortuary to the Coroner's office to inform the Coroner that the cause of death had been established, before the body was released. No record exists of the time of this call.
Mr Isaacs' funeral took place in accordance with Jewish rites at 3.30pm.
When Mr Isaacs was buried his family were totally unaware that his brain had been inappropriately retained without their knowledge or agreement. Had the family been asked, consent would have been refused for retention of his brain for any purpose, in accordance with Mr Isaacs' religious beliefs and Jewish Law. In fact, as subsequent chapters describe, the brain had been retained solely for research at Manchester University, see Chapter 3. The legal position, including the Human Tissue Act, are described in Chapter 5.

Summary

Mr Isaacs was found dead by the late Mr C Lingard shortly before 7.00pm on 26 February 1987.
On hearing that a post mortem was likely, Mrs Isaacs pointed out that this conflicted with her husband's religious beliefs as an Orthodox Jew.
The post mortem examination ordered by the Coroner was brought forward in recognition of Mr Isaacs' Jewish belief to 11.00am on 27 February.
Mr Isaacs was buried before sunset that day in accordance with Jewish rites.
Mr Isaacs' family were unaware that his brain had been inappropriately retained for research at Manchester University.
References
1  Entry in the Prestwich Mortuary Register of Outside Deaths.



 
       
 

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