It’s Taken Seven Years To Conclude This…?

A grandmother would not have been murdered in Bexleyheath if mental health staff had assessed the danger posed by a mentally ill woman properly, a coroner has concluded.

The murder happened in 2011. Yes. You read that right!

Edgington was taken to Oxleas House in Woolwich but soon walked freely out of a door which should have been locked to commit the killing, coroner Sarah Ormond-Walshe said.

Sitting at South London Coroner’s Court, she concluded on Thursday: “I find that there was a failure to assess her properly, failure to risk-assess her properly, and failure to put her on one-to-one observations.

“I find that there was a failure to ensure that she be prevented from leaving Oxleas House if she attempted to do so.

“Had one or more of these failures not happened, the death of Sally Hodkin would not have happened.”

So, the blame game has finally concluded what absolutely everyone and his dog could have told you the day after the trial concluded.

What a waste of time and money.

Speaking after the inquest, Mrs Hodkin’s son and solicitor Len Hodkin, 42, standing with his brother Ian, 41, said: “There were clear failings by the multidisciplinary team in the weeks and months leading up to this.

“If she was recalled to hospital a lot sooner she would not have been on the streets to kill our mum.”

So, I guess ‘Lessons will be learned’ just like alw…


Her care team gave evidence at the inquest defending her release and saying they followed correct procedure.

Asked by the coroner if she would take the same steps if faced with the same scenario again, her psychiatric nurse and care co-ordinator Tanya Biebuyck said: “Considering the clinical picture, yes, we made the right decisions.”

They say doing the same thing over and over again and expecting a different outcome is a sign of madness. Physician, heal thyself?

11 comments for “It’s Taken Seven Years To Conclude This…?

  1. Old Geezer
    November 12, 2018 at 9:28 am

    Yes, but it all keeps lawyers in “gainful employment”. One might also add, if they were not busy on this, they might be causing even more trouble somewhere else.

  2. November 12, 2018 at 10:55 am

    There have been plenty of these “Failures to Assess” in Social and Family services. The main reason that is put forward is “cuts”, but after dealing with Social Services and Social Workers directly, I’d say it’s actually the calibre of the people and the regime in Social Service departments.

    If they did their jobs properly and had proper sanctions when they failed to do their job properly, then things would tighten up. But like most of the public sector’s attitude to incompetent people, they never get fired, they usually get promoted and the taxpayer gets to pay for the clear up and legal bills.

  3. Ljh
    November 12, 2018 at 12:26 pm

    Only when individual pensions and other assets are available for seizure, will people act responsibly. Unfortunately saving themselves hassle or NHS money and covering each other’s arses is the current mode.

    • November 15, 2018 at 1:36 am


  4. Errol
    November 12, 2018 at 8:25 pm

    It’s all about following the rules. Following the procedures. Never thinking, just ticking boxes. Box ticking is the more important thing that actually doing the right thing. The state is too big, too wasteful, too inefficient. It needs culling so wasters like this cannot hide behind their spreadsheets and forms.

    • Voice of Reason
      November 12, 2018 at 9:31 pm

      It isn’t just the State in the UK. I have lived in the US for 40 years, and have seen the ‘box-tickers’ infest the field of Education, to the point where learning is secondary.

      They also thrive in large companies. Their cover is large-scale operations.

  5. Voice of Reason
    November 12, 2018 at 9:31 pm

    It isn’t just the State in the UK. I have lived in the US for 40 years, and have seen the ‘box-tickers’ infest the field of Education, to the point where learning is secondary.

    They also thrive in large companies. Their cover is large-scale operations.

  6. Voice of Reason
    November 12, 2018 at 9:33 pm

    I have little to no faith in the whole Psychology/Psychiatry fields. We just don’t understand enough to even diagnose problems, let alone fix them.

    In some ways, I hope that we never do, given that the people in charge at any given moment would use that to ‘fix’ all of us.

  7. Pcar
    November 12, 2018 at 10:26 pm


    Similar a few weeks ago: Two Autistic young women – msm berating their treatment/care.

    AW1: locked in room in care home as she’s a risk to herself by her behaviour – “outrageous”

    AW2: care home forced to allow her freedom and watch as she has sex with random blokes despite she’s a risk to herself by her behaviour – “outrageous”

    On AW2: care-home threatening council they will terminate care if not allowed to restrain.

    State & msm insanity

    • November 13, 2018 at 9:31 am

      Deprivation of Liberty is a sacred cow in care circles. Any care home has to be very careful – even pushing someone’s chair up to a table can be classed as DoL if the person in the chair is incapable of pushing the chair back and freeing themselves.

      So if something so innocuous is classed as DoL, then you can be sure that some really bad stuff has been happening for a care home to be asking to secure a person in their care.

      On the flip side, that bad stuff has to have been happening for some time and the home has had to stand aside and watch it happen lots before all the boxes are ticked and they can act in what most would class a sensible manner. If the cared for person is putting themselves at risk, the natural reaction is to protect them and stop the harming behaviour. But care protocol doesn’t allow that natural reaction.

      Care in the community… great when the safety of the community is paramount, but the current care regime puts the rights of the cared for well before the safety of the public at large.

      • Pcar
        November 13, 2018 at 11:12 pm


        Thanks for input.

        AW2 – “random bloke” was she approached guy in street, asked them to shag her “behind shop”, told him where she lived. Care home: daily stream of guys asking for her.

        Box ticking usurping care/safety is idiotic. iirc it was a court report and Judge critical of council.

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