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flag A 2025 inquest found serious flaws in mental health care leading to William Giles’s drug-related death, prompting calls for NHS reforms.

flag A coroner’s inquest into the 2025 death of 22-year-old William Giles at Bushey Fields Hospital in Dudley found multiple failures in his mental health care, including no structured substance misuse plan, inadequate monitoring—especially overnight—missed contraband detection, and insufficient specialist support. flag Staff failed to confirm breathing when recording Giles as “asleep,” and searches were not conducted after he returned from leave. flag While the coroner found no definitive link between these lapses and his drug-related death, she is considering a prevention of future deaths report. flag Giles’s mother urged the NHS trust to act, and the trust said it has since improved care protocols, support services, and interagency collaboration.

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