Menu & Search
           1904556600
Speak to our friendly team
Contact Us Now

A young woman with serious mental health problems died of suicide after a series of NHS trust errors, a jury at an inquest into her death has found.

Sophie Payne, 22, died in July 2017 at the Rose ward of Queen Mary hospital in Roehampton, south-west London.

The jury highlighted how, despite the fact Payne had apparently tried to take her own life earlier that day, staff did not remove from her room an item she had used in that suicide attempt and went on to use that evening.

“[The item] not being removed from Sophie’s room was a contributing factor or cause of Sophie’s death,” the jury said in a seven-page record of the inquest at Westminster coroner’s court in central London.

The jury argued the item should also have been removed because Payne had used it in four previous apparent suicide attempts during her 24 days in the unit. Staff did not file an incident report about any of those four episodes.

The jury said: “There were failing[s] in incident reporting which contributed to Sophie’s death. There were four incidents in which [the item] was found … in Sophie’s mouth. No incident report was generated.

“[The item in her] mouth posed a ‘significant risk’, yet on four occasions [was] not reported to risk assessment.”

The jury said this led to a failure in risk assessment that separately contributed to Payne’s death.

It also found that her care plan was not updated properly after the suicide attempts, a breach of the guidelines drawn up by the South West London and St George’s mental health NHS trust (SWLSTG), which runs the hospital.

The jury said the trust’s failure to hold a multi-professional review meeting after Payne’s persistent self-harm was the fifth mistake that contributed to her death.

Deborah Coles, the director of the charity Inquest, which supported Payne’s family, said: “We are increasingly concerned about the repeated patterns of failure of vulnerable women like Sophie in secure mental health care. All the warning signs were there but yet again she was failed by the very systems that were meant to keep her safe.”

Start Your Claim Today1904556600
Tell us about your case

Just send us a little bit about yourself and your claim and we will respond within 24 hours.

Get In Touch
Latest News

Breast Cancer Awareness is more important than ever, in 2020

This Breast Cancer Awareness month we must remember not to allow the difficulties we are confronting because of COVID-19 to blind us from the […]

Read More

York Community Pride Awards 2020

2020 marks Pryers’ sixth year sponsoring the York Community Pride Awards. And it has definitely been the most unusual year, yet. We have sponsored […]

Read More

Queen’s Medical Centre maternity neglect

An inquest last month found that neglect by staff at Nottingham University Hospitals contributed to the death of a baby. Wynter Andrews was born […]

Read More

Take a look back through our complete news archive

Follow us on Twitter

It's important to stay safe when driving. Make sure you drive at a speed which enable you to react accordingly.

#RoadSafety #SafeDriving #Cycling

This month is #BreastCancerAwarenessMonth

Early diagnosis is vital for recovery, but do you know what to look out for? If you’re unsure, check out our guide to remind yourself of those key changes that you should be aware of. If in doubt speak to your GP

https://www.pryers.co.uk/resources/breast-cancer-causes-diagnosis-and-treatment/

Load More...