一名16岁女童逃离非专业精神保健所后死亡,原因是护理和应对系统失灵。 A 16-year-old girl died after fleeing a non-specialist mental health ward due to systemic failures in care and response.

一名16岁女孩Ellame Ford-Dunn(Ellame Ford-Dunn)于2022年3月从Worthing医院的蓝鳍儿科病房逃跑后自杀身亡,当时她因心理健康问题正在那里接受治疗。 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. 一项调查发现,由于缺乏心理保健床位,将她置于非专科病房是不适当的,理由是风险评估不足、各机构之间协调不力、护理工作交接前后不一以及缺少患者规程。 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. 工作人员在她潜逃后没有迅速作出反应,要花59分钟才能找到她,机构护士缺乏适当的指导和查阅记录的机会。 Staff failed to respond promptly after she absconded, taking 59 minutes to locate her, and agency nurses lacked proper guidance and access to records. 大学医院Sussex NHS基金会信托基金承认未能确保安全护理,并罚款20万英镑。 The University Hospitals Sussex NHS Foundation Trust admitted failing to ensure safe care and was fined £200,000. 验尸官已下令防止今后死亡的报告,强调等待心理健康治疗的年轻人目前面临的风险。 The coroner has ordered a prevention of future deaths report, highlighting ongoing risks for young people awaiting mental health treatment.