Overview

• An inquest found that Charlotte Tetley, 33, deliberately sat on Macclesfield railway tracks and was fatally struck by a train.
• The coroner issued a Prevention of Future Deaths report sent to the Chief Executive of Cheshire and Wirral Partnership NHS Trust, with a response due by November 9, 2025.
• The report flagged that Tetley was discharged despite suicidal thoughts and was removed from an inpatient bed list before a same-day professional review.
• Police and ambulance services did not deploy when she was designated a high-risk missing person because her location was unknown, according to evidence presented.
• Tetley had diagnoses including Emotionally Unstable Personality Disorder and PTSD, used drugs as a coping mechanism, and moved to Macclesfield in 2023 after her abuser returned to Rochdale.