Investigation sought into health trust after 369 patients take their own lives following treatment

MORE THAN 360 patients took their own lives after being treated by means of a psychological health believe that was once warned 15 instances to improve care via coroners within the final five years, a Telegraph research has discovered.

Remaining night time, bereaved families, MPs and charities referred to as for an pressing investigation by ministers and health regulators into “repeated failings” and neglected possibilities to forestall suicides.

Between 2016 and final yr 369 sufferers at Sussex Partnership NHS Agree With took their own lives, consistent with figures got by the Telegraph.

during the same length the agree with used to be warned by means of coroners over a variety of failures together with wrong discharges, medication mistakes, and an absence of supervision of psychological health sufferers.

The trust provides psychological well being care to those in the county, including Chichester, the seat of Gillian Keegan, the current minister for mental well being. She did not reply to a request for remark approximately her constituency.

Officials have been advised via letters from Sussex coroners, referred to as prevention of long run loss of life studies, that motion should be taken to forestall future deaths.

The circle of relatives of one woman who hanged herself elderly 26 on one of the agree with’s wards, Bethany Tenquist, said that they felt that lessons had now not been discovered from her loss of life.

Bethany Tenquist, who suffered with emotional personality disorder Bethany Tenquist, who suffered with emotional character disorder Credit Score: Russell Sach

Calling For Presidency intervention, Jeremy Hunt, the previous well being secretary and chair of the well being and social care make a choice committee, mentioned: “Those repeated incidents are deeply regarding and appear to warrant further investigation.

“Bereaved families should understand whether or not important possibilities to learn lessons and forestall tragedies had been ignored, and whether or not there are deeper, more systemic problems at this trust.

“i am hoping regulators and Ministers will have a look at this as an issue of urgency.”

Dr Rosena Allin-Khan MP, Labour’s shadow cupboard minister for mental health, said: “The sheer number of people who have taken their very own lives at the consider is deeply regarding.

“i am hoping regulators and Ministers will investigate this matter and habits an independent inquiry as a matter of urgency.

“Any inquiry should have the households of those who died at its middle. They’ve been waiting years for answers and feature lost religion in the device.”

In January remaining yr, the then-well being minister, Nadine Dorries, introduced an inquiry into Essex NHS trusts following the deaths of eleven psychological health in-sufferers between 2004 and 2015 in reaction to the recommendations of a Parliamentary and Health Provider Ombudsman (PHSO) record.

Coroners searching for to improve the quality of care

Over the past 5 years coroners at inquests into patient deaths at Sussex have told the trust on 15 separate events to improve the standard of its care, as seven patients took their own lives on the Consider’s wards.

In 2016 the agree with was warned after Joanne French,38, was once discharged from clinic following verbal exchange mistakes by the believe among staff and the circle of relatives.

She had been in medical institution for simply over every week after a major strive on her existence. After being discharged she used to be discovered lifeless by way of a member of the public in Southwick, close to Brighton.

Numbers to call

In 2018 coroners mentioned that some other affected person, Paul Hanton, FIFTY TWO, had absconded from care following a stroll in the grounds in Crawley, and then he was discovered lifeless on train tracks in London. The coroner noted that nurses were not sure who used to be supposed to be the one in charge of his care.

the following yr the believe was advised about every other affected person, John Richardson, 60, who also absconded from care after strolling around the grounds of Meadowfield Clinic in Worthing.

Coroners mentioned that bad communique with the family, no risk assessments and no further care plans have been key failings of their care. They were later discovered useless in forest within the South Downs.

Additionally in 2019 the agree with was once warned over the dying of Bethany Tenquist, 26, who was discovered hanged in her sanatorium room in Hove. The coroner stated that an inadequate care plan, and a scarcity of coaching and staffing had been severe considerations.

Bethany Tenquist pictured on holiday in France in 2012 Bethany Tenquist pictured on vacation in France in 2012 Credit Score: Russell Sach

throughout the course of the inquest, the coroner felt he had to write to the believe for a second time, to warn them that vulnerable sufferers were continuing to self harm and dangerous items weren’t being removed from their rooms.

In 2020, the accept as true with used to be warned over the death of Cristopher Swain, 38, who was once also discovered hanged in his room in Langley Inexperienced Health Facility in Crawley. The coroner mentioned that “no formal assessment, care plan or adequate chance overview used to be carried out in recognize of his mental health.”

Whilst he was once sooner or later found by means of team of workers, he used to be believed to have been useless for some time.

Deborah Coles, Director of INQUEST, stated: “In The Back Of those deeply relating to figures are the lives of so many people who have died while under the care of the state, when they will have to had been protected and receiving lend a hand.

“After each dying we pay attention platitudes approximately ‘learning classes’ and yet preventable deaths continue and we see a transparent and enduring development of failure of Sussex Partnership NHS Agree With to ship the systemic adjustments wanted.

“Even As it’s clear that problems in Sussex are particularly relating to, we know from our paintings that these are nationwide problems.”

No Executive plan to research

The Department of Health and Social Care spokesperson stated that that they had no plans to habits an inquiry into Sussex, but that “each and every suicide is a tragedy and our sympathies go to the circle of relatives and friends of these who have sadly died.”

They added that the inquiry into Essex will draw nationwide conclusions.

A Sussex Partnership Trust spokesperson, said: “Top Of The Range care is our absolute priority. that is about maintaining patients secure, providing effective remedy and working with other people to be certain they have a good enjoy of our products and services.

“an important part of our work involves finding out from serious incidents, listening to feedback and making the adjustments needed to enhance patient care and treatment. We at all times try to do this in a way which promotes a tradition of openness, truthful reflection and motion.

“Working closely with our health and care companions, we’re committed to doing the whole thing conceivable to circumvent folks feeling that taking their very own existence is their simplest option.”

Case Have A Look At: “She used to mention ‘I just don’t assume they’re troubled about me'” 

Beth Tenquist died in 2019, taking her own life in Mill View Medical Institution in Hove.

Final Sunday marked the three-yr anniversary of her death.

The coroner found that there was a sequence of significant disasters by means of Sussex Partnership NHS consider to maintain her protected.

Her family, together with her mother Bernadette, informed the Telegraph that she would love to peer an inquiry into the Trust, and might do anything to assist the ones still at the wards.

They instructed the Telegraph that Beth had an consuming dysfunction for round 5 years before her admittance to medical institution, that got here partly from being bullied at school.

Her family told the Telegraph she had “little or no outpatient reinforce”.

“It came out within the inquest that even supposing she was soliciting for practice-up appointments, they had been never sent to her.

“She used to say that “i think unimportant” or “I just don’t assume they’re afflicted approximately me”.

“She coped for roughly six years on her own with an consuming dysfunction, and then all of this factor blew up inside the remaining two years ahead of she died.

“the principle one who used to be purported to look after her whilst in medical institution, she stated within the inquest that she had never seen anyone as in poor health as Beth. We were never advised that at any element.

“It’s affected other people – any other relative had a suicide try afterwards, because of all of it.”

The family mentioned that it used to be handiest after a meeting with the top of the Sussex Partnership, that they were given any help – over years after Beth’s demise.

“We simply assume it’s going to maintain on happening.

“I’m positive people don’t necessarily mean to be like this, you don’t cross into the occupation and be like this.

“My circle of relatives had no revel in of mental health problems prior to. It takes you an extended time to be told what it is.”

The evening that Beth died, the family advised the Telegraph that personnel didn’t react quick sufficient, and that there was a tender doctor guilty of the whole health center.

“the lady who found Beth, hanged on the door, a care assistant, the inquest used to be instructed that she nonetheless didn’t know what the identify of a defibrillator was.

“The evening Beth died, she was being bullied by means of every other patient, who had psychosis and believed Beth used to be the person attacking her.

“She was so upset because the core of her drawback used to be being bullied in class, and was once now being bullied in this hospital through this other girl.

“We don’t recognize why they didn’t move either my daughter or the other woman to a different ward.

“if you’re incarcerated in a room for twenty-four hours, on your own protection, we thought she can be safer there than running across the streets or anything else, but you’re going to become worse, except you’re given a few form of therapy or lend a hand.

“We don’t know how you’re alleged to recuperate.”

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