Kelly Campbell
PFD Report
Historic (No Identified Response)
Ref: 2018-0271
Coroner's Concerns (AI summary)
Concerns exist regarding the lack of rigorous trust policies for returning items like shoelaces and the dreary, unstimulating physical environment in patient rooms, which contributes to boredom.
View full coroner's concerns
(1) The evidence revealed that some time previously Kelly’s shoe laces had been returned to her. The court accepts that this sort of decision is a clinical decision but wants to be assured that there are rigorous trust policies surrounding such decisions.
(2) Kelly’s mother lamented the fact that the physical surroundings in the rooms were so dreary – she cited magnolia paint everywhere, no colourful pictures to brighten up the environment etc. She observed that the lack of mobiles, a clock etc. in the rooms led to boredom in the long night hours.
Cont….
(2) Kelly’s mother lamented the fact that the physical surroundings in the rooms were so dreary – she cited magnolia paint everywhere, no colourful pictures to brighten up the environment etc. She observed that the lack of mobiles, a clock etc. in the rooms led to boredom in the long night hours.
Cont….
Sent To
- Essex Partnership University NHS Foundation Trust
Response Status
Linked responses
0 of 1
56-Day Deadline
3 Oct 2018
About PFD responses
Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.
Source: Courts and Tribunals Judiciary
Report Sections
Investigation and Inquest
On 21 February 2018 I commenced an investigation into the death of Kelly Marie Campbell. The investigation concluded at the end of the inquest on 8 August 2018. The conclusion of the inquest was that Kelly Marie killed herself. The jury added a narrative conclusion – Numerous failings of the state to protect her life contributed to her death.
Circumstances of the Death
Kelly was a 17 year old girl who had suffered from bulimia nervosa for about a year. She had a history of self-harm and suicidal feelings. At the time of her death she was detained under s3 Mental Health Act in Rochford Hospital. She was found hanging bay ligature of shoe laces from light fitting in her bathroom.
Copies Sent To
Care Quality Commission
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.