The young woman died as a result of “gross failure” and “negligence” by A.S. Mental health Essex Hospital, which is also undergoing a major independent investigation into the deaths of patients.
Bethany Lilly, 28, died Jan. 16 while she was hospitalized in the Basildon Mental Health Department run by Essex Partnership University Hospitals.
After a three-week investigation heard by forensic expert Sean Horstede, a jury found that “negligence” contributed to Ms. Lily’s death and established a “gross failure” in the name of the trust.
The jury revealed numerous flaws in his care, including evidence that cocaine had hit the hospital ward.
There was evidence of “very significant problems with the production of records in EPUT psychiatric wards”.
It was also found that staff were unable to conduct a risk assessment of Ms Lily a few days before her death and were unable to make any observations.
Bethany’s family, represented by Foster’s attorneys, said: “We are grateful that we now have the answers we have been looking for for three years now. We feel justified by these answers and that Bethany’s death was taken seriously by a jury. We can finally recall Betty because of her lovely, funny beautiful daughter, mother and aunt, instead of focusing only on how she died. Thanks to Jonathan and Jen for their fantastic support in reaching this stage. We have a right for Betty now! ”
The death of Mrs. Lilly is one of them Patients Who died under the supervision of Essex Mental Health Services, which were identified following a campaign by the families of the victims.
The Essex Partnership University Hospital Foundation Trust, which manages the services, is threatening an independent investigation that is likely to be the largest in mental health services.
However, families are campaigning to turn an independent investigation into a normative public inquiry that will be able to force those involved to testify.
The Trust previously had a police investigation into 24 deaths that did not result in a criminal prosecution and was prosecuted by the Health and Safety Executive over the failure of known ligature risks before the death of 11 patients in June 2021.
Ms. Lilly’s death was followed by the death of Matthew Leah in 2012, whose death, along with that of another young man, was investigated by Parliament’s ombudsman and severely criticized by hospitals.
Ms. Lilly, described as an “ambitious young woman,” was a health care assistant and worked as a local surgeon. He had complex mental health complications and self-harm, and had several admissions to the inpatient department before his death.
According to INQUEST, after a period of well-being, he suffered from deteriorating mental health after his father’s death, which “led to a rapid escalation of self-harm and suicidal behaviors.”
On January 15, 2019, after attempting to injure himself, he was transferred to A&E in Colchester, where he was placed under “continuous observation of sight.” A decision was later made to transfer him to Torpedo Ward in the Basildon Mental Health Department.
In its investigation, jurors said the trust could not assess the risk that there had been improper transfer between the two hospitals and a lack of co-operation.
According to the findings, Thorpe Ward staff “did not know” that he was going to be transferred, did not have a clinical history for him, and did not know that he was on continuous vision observation, also called third-level observation.
On January 16, staff lowered his observation level to the first level, meaning he would be checked every 30-60 minutes. He was later found bent by staff and 18 minutes later an ambulance was called and he was declared tragically dead.
“Given her risk factors and recent self-harm incidents, Betty should not have been relegated to first-level observation,” the jury said in a statement.
Trust admitted to reducing his level of observation without a full risk assessment, and although staff argued that the last observation was made before his death, the jury found that this did not actually happen.
Lucy McKay, INQUEST spokeswoman, said: “Sadly, Bethany is one of many people who have been unsuccessful and neglected in recent years by the University of Essex Partnership Trust and other Essex mental health services.
“The behavior of Essex mental health services is subject to significant public scrutiny, including a broad campaign by the families of the victims, and an independent investigation is now under way.
“This evidence from this investigation into the actions of the Essex University Partnership Trust before and after Bethany’s death is a reminder of how urgent and necessary such an inspection is.” How many more must die before there can be a real change in culture and leadership in Essex mental health services? ”
They have families supporting the public investigation campaign A petition has been launched and is currently being appealed against the court decision.
Paul Scott, CEO, said: “Our thoughts are with Bethany Lily’s family and friends at this difficult time. In the aftermath of the tragic incident of 2019, we have taken a number of actions, improved communications, the monitoring process, and strengthened collaboration between services across the Trust.
Women have died as a result of neglecting the mental health trust scandal
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