source: BBC News
published: 21 September 2016
Neglect by one of England’s largest mental health trusts contributed to the death of a boy, a coroner has ruled. Chris Brennan, 15, died at Bethlem Royal Hospital, south London, in August 2014. He had been admitted six weeks before after incidents of self harming.
The coroner found a lack of a risk assessment and an up-to-date care plan had contributed to his death.
The number of self-harming incidents on the unit had “desensitised” staff to the dangers, said coroner Selina Lynch.
Chris, who had mental health problems, repeatedly harmed himself while he was at the adolescent unit, which is run by the South London and Maudsley NHS Trust.
South London Coroner’s Court found there was no discussion about the number or seriousness of the incidents in a care meeting that took place days before he died from asphyxiation.
Brennan neglect was ‘utterly shameful’
(audio clip from the BBC’s World at One)
21 September 2016