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?