Anita Davies represented family members of Amanda Bowles in an inquest that concluded on 18th September. The Coroner, Sean Horstead, concluded that doctor error contributed to the death of Ms Bowles (who suffered from Anorexia nervosa) in September 2017. Mr Horstead also concluded that on the balance of probabilities the “decision not to significantly increase the level of in-person monitoring” following 24 August contributed to the death. In addition the Coroner commented on the lack of a robust system for monitoring Ms Bowles in the months preceding her death, that “was the direct consequence of the lack of formally commissioned monitoring in either primary or secondary care for eating disorder patients”. The inquests was one of a series of linked inquests arising from deaths of five eating disorder patients (one in 2012 and four in 2017-18) in the East of England region. Anita was instructed by Saunders Law.