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How failures in girl's care contributed to her death

  • A bright teenager with severe mental illness was let down by poor care and staffing problems at one hospital, which her family say worsened her condition.
  • She improved after moving to a different unit, but was later transferred back because of her age; failings to follow her care plan after that move preceded her death.
  • An inquest found care failures contributed to the tragedy, highlighting wider concerns about staffing, training and the risky transition from child to adult mental health services.
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