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flag A 16-year-old girl died after fleeing a non-specialist mental health ward due to systemic failures in care and response.

flag 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. flag 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. flag Staff failed to respond promptly after she absconded, taking 59 minutes to locate her, and agency nurses lacked proper guidance and access to records. flag The University Hospitals Sussex NHS Foundation Trust admitted failing to ensure safe care and was fined £200,000. flag The coroner has ordered a prevention of future deaths report, highlighting ongoing risks for young people awaiting mental health treatment.

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