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Inquest finds neglect contributed to death of young Black woman at an Essex mental hospital

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Inquests and Inquiries

An inquest has found that neglect contributed to the death of a young Black woman in the care of Essex mental health services. Edwige Nsilu, a 20-year-old Black woman, died in 2020 whilst an inpatient at an Essex mental hospital. The healthcare watchdog, the Care Quality Commission, inspected the ward in the week after Edwige’s death and identified numerous areas of concern, including staff not carrying out observations in accordance with policy.

The inquest into Edwige’s death found she died by misadventure contributed to by neglect with multiple failures contributing to her death, including a failure to increase Edwige’s observation intervals despite recent escalation of serious incidents relating the deterioration of her mental health and a serious delay in declaring a medical emergency.

Kirsten Sjøvoll acted for the family, instructed by Joseph Morgan of Bindmans.

Click here to read more about the inquest.