More than 360 patients have died after being treated by the Mental Health Trust, which has been warned 15 times to improve coroner care over the past five years, according to a telegraph study.
Last night, bereaved families, lawmakers and charities missed the opportunity to prevent suicide, calling for an urgent investigation into “repeated failures” by ministers and health regulators.
From 2016 to last year Sussex Partnership NHS Trust 369 patients killed, According to the numbers obtained by the Telegraph.
At the same time, coroners warned of confidence in a variety of failures, including false discharges, dosing mistakes, and lack of supervision of mental health patients.
The trust provides mental health care to people in the county, including Chichester, the seat of the current Minister of Mental Health, Gillian Keegan. She did not respond to requests for comment on her members.
Officials were informed through a letter from a Sussex coroner called Prevention of Future Death Reports that measures should be taken to prevent future deaths.
A family of a woman who hung herself at the age of 26 told Bethany Tenquist, one of the trust’s wards, that she felt she had learned less from her death.
Jeremy Hunt, a former Minister of State for Health and Chairman of the Special Committee on Health and Social Care, called for government intervention and said:
“The bereaved family deserves to learn lessons and know if they have missed an important opportunity to prevent tragedy, and if there are deeper and more systematic problems with this trust.
“I hope regulators and ministers see this as an urgent issue.”
Rosena Allin-Khan, Labor Party’s Minister of Mental Health, said: I am deeply concerned that I lost my life with trust..
“We expect regulators and ministers to investigate this issue and conduct an independent investigation as an urgent issue.
“In any investigation, there must be a family of people who died at the center of it. They have been waiting for an answer for years and have lost confidence in the system.”
In January last year, then Minister of Health Nadine Dorries responded to the recommendations of Congress and the Health Service Ombudsman (PHSO) after the deaths of 11 mental health inpatients between 2004 and 2015. Announced a survey of the trust. Report.
Coroner trying to improve the quality of care
Over the past five years, coroners investigating the deaths of patients in Sussex have taken 15 separate opportunities to improve the quality of care as seven patients died in the trust ward. talked.
Trust was warned after Joanne French (38) was discharged in 2016 due to a communication error due to trust between staff and family.
She had been hospitalized for just over a week after making a serious attempt in her life. After being discharged, she was found dead by one of the civilians in Southwick, near Brighton.
In 2018, coroners said another patient, Paul Hunton, 52, stopped taking care after taking a walk on Crawley’s premises. Later, he was found dead on a railroad track in London. The coroner said the nurse did not know who would take care of him.
The following year, after walking around the grounds of Worthing’s Meadowfield Hospital, trust was conveyed to another patient, John Richardson, 60, who also stopped taking care.
Coroners said lack of communication with family members, risk assessments, and further care plans were important failures in their care. They were later found dead in the South Downs woodlands.
In 2019, confidence was warned about the death of a 26-year-old Bethany Tenkist, who was found to have been hanged in Hove’s room. Coroners said poor care plans and lack of training and personnel were serious concerns.
During the inquest, the coroner felt that he needed to write another letter to the trust to warn the vulnerable patient. Continued self-harm and dangerous objects were not removed from the room..
In 2020, the trust was warned about the death of Christopher Swain, 38, who was hanged in his room at Crawley’s Langley Green Hospital. “There was no formal review, care plan, or appropriate risk assessment of his mental health,” the coroner said.
It was believed that he was dead for some time when he was finally discovered by the staff.
Deborah Coles, Director of INQUEST, said:
“Every time I die, I hear gratitude for’learning lessons’, but preventable deaths continue and the Sussex Partnership NHS Trust is clear and permanent that it cannot make the necessary systematic changes. Pattern can be seen.
“It is clear that the issue of Sussex is of particular concern, but our work shows that these are national issues.”
No government plans to investigate
A spokesman for the Ministry of Health said he had no plans to investigate Sussex, but “all suicides are tragic and our sympathy is sadly directed at the families and friends of those who died.” Said.
A spokesperson for the Sussex Partnership Trust said: This is to keep patients safe, provide effective treatments, and work with people to enable them to experience our services positively.
“A key part of our work is to learn from critical events, listen to feedback and make the necessary changes to improve patient care and treatment. We are always open and honest. We strive to do this in a way that promotes a culture of reflection and action.
“We work closely with our health and care partners and promise to do everything possible so that people don’t feel that killing themselves is the only option.”
Case study: “She said,’I don’t think they care about me.'”
Beth Tenquist died in 2019 and died at Mill View Hospital in Hove.
Last Sunday marked the third anniversary of her death.
Coroners have discovered that the Sussex Partnership NHS has made a series of serious failures to keep her safe.
Her family, including her mother Bernadette, told Telegraph that she wanted to investigate the trust and would do anything to help those still in the ward.
They have Beth on the telegraph I had an eating disorder for about 5 years Before she was hospitalized, it was sometimes bullied at school.
“There is little outpatient support,” her family told Telegraph.
“The cause of death hearing revealed that they were never sent to her, even though she had requested a follow-up appointment.
“She said,’I don’t feel important’ or’I don’t think they care about me.'”
“She dealt with eating disorders herself for about six years. After that, all this problem exploded within the last two years before she died.
“The protagonist, who was supposed to take care of her while in the hospital, said in an inquest that he had never seen a person as sick as Beth. There is none.
“It affected other people-for all that, another relative subsequently attempted suicide.”
Family it is Only after a meeting with the person responsible for the Sussex PartnershipMore than two years after Beth’s death, they were given help.
“We think it will continue to happen.
“I’m sure people don’t really mean this. You don’t get this in your profession.
“My family has never experienced a mental health problem. It takes a long time to learn what it is.”
The night Beth died, the family told The Telegraph that the staff did not respond fast enough, and that there was a young doctor in charge of the entire hospital.
“The woman who found Beth was hanging at the door and was a care assistant. The cause of death inquiry was told that she still didn’t know the name of the defibrillator.
“The night Beth died, she had a mental illness and was being bullied by another patient who believed that Beth was the one attacking her.
“She was very angry because the heart of her problem was being bullied at school, and now she was being bullied at this hospital by another girl.
“I don’t know why they didn’t move my daughter or any other girl to another ward.
“If you’re in a room for 24 hours, for your own safety, we thought she was safer than running around the street, but unless you get some treatment, you get worse. Will do. Help.
“We don’t understand how you’re supposed to get better.”