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A 16-year-old girl died after fleeing a non-specialist mental health ward due to systemic failures in care and response.
A 16-year-old girl, Ellame Ford-Dunn, died by suicide in March 2022 after escaping from Worthing Hospital’s Bluefin paediatric ward, where she was being treated for mental health issues.
An inquest found it was inappropriate to place her on a non-specialist ward due to a lack of available mental health beds, citing inadequate risk assessments, poor coordination between agencies, inconsistent nursing handovers, and a flawed missing patient protocol.
Staff failed to respond promptly after she absconded, taking 59 minutes to locate her, and agency nurses lacked proper guidance and access to records.
The University Hospitals Sussex NHS Foundation Trust admitted failing to ensure safe care and was fined £200,000.
The coroner has ordered a prevention of future deaths report, highlighting ongoing risks for young people awaiting mental health treatment.
Una niña de 16 años murió después de huir de un pabellón de salud mental no especializado debido a fallas sistémicas en la atención y respuesta.