Today (21 March 2023), the fourth and final NHS England independent investigation report has been published.
This report is a system-wide independent investigation into concerns and issues raised relating to the safety and quality of the child and adolescent mental health service (CAMHS) provision at West Lane Hospital. It follows the publication, in November last year, of reports into the sad deaths of three young women in our care.
The investigation was commissioned by NHS England and carried out by Niche Health and Social Care Consulting.
In response to the report, David Jennings, chair of Tees, Esk and Wear Valleys NHS Foundation Trust, said:
“We would like to reiterate how deeply sorry we are for the events that contributed to the deaths of Christie, Nadia and Emily.
“Brent Kilmurray, our chief executive, and I have met each of the young women’s families to apologise to them in person. I thank them for allowing us to do that. I cannot begin to imagine how painful it has been for them.
“This report covers a period of time where it was abundantly clear there were shortfalls in both care and leadership. Over the last three years, how we care for people, how we involve patients, families and carers, and our leadership and governance structure have changed significantly.
“We will continue to work hard to make sure we deliver safe and kind care to the people we support, as they have every right to expect.”