Benjamin Hart

1. 1. insufficient nursing staff in community mental health team

   “The Trust had a shortfall of nursing staff in the Dover and Deal area at the time that [the deceased] was under the community mental health team such that although 16 nurses were required to run the service, the Trust only had 8 nurses employed at the time, 2 of whom were long term sick. This left a working complement of 6 nurses to cover the whole area, which required them to take on additional duties. There was no resilience within the team and therefore when the relationship between [name redacted] and his”

2. 2. lack of timely care coordination after relationship breakdown

   “The Trust was aware that the relationship between [name redacted] and his care coordinator had broken down but a new care coordinator was not appointed and [name redacted] had no contact from the community mental health team for 5 weeks before his death on 12th October 2023 when he hanged himsel”

3. 3. multiple complex mental health conditions

   “[the deceased], 25 had a medical diagnosis of post-traumatic stress disorder, enduring personality change after a catastrophic experience, emotionally unstable personality disorder borderline type and generalised anxiety disorder. He likely had Asperger's syndrome. At the time of his death was under the care of the community mental health team following a suicide attempt by hanging in December 2021 following which he was formally sectioned”

No published response was found on judiciary.uk.