Overview

• The Oxford University NHS Foundation Trust admitted it lacked a documented care plan for Cal Shearer, whose 2018 autism diagnosis heightened the need for tailored support.
• Witnesses described a traumatic hospital stay from March to May 2024 that family members said worsened Cal’s mental health.
• Consultant psychiatrist Dr Stephen Merson told the coroner the team was improving its understanding of autism risk but did not dismiss Cal’s condition.
• Father Paul Shearer and spouse Imogen Voysey-Shearer paid tribute to Cal’s compassion, highlighted their transgender identity and recounted their long battle with suicidal thoughts.
• The ongoing family complaint remains under review and could drive new mental health policies for vulnerable university students.