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I failed mentally-ill patient, admits Bradgate Unit nurse at Leicester inquest

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A nurse told an inquest yesterday she failed a mentally-ill patient after he was able to walk out of a hospital and hang himself.

Clara Foromani agreed she had not given Gagandip Singh Sandhu the level of care she should have done before he hanged himself in a park.

The hearing at Leicester Town Hall heard how Mr Sandhu, 55, of Skelton Drive, Knighton, hanged himself after he walked out of the Bradgate Unit at Glenfield Hospital on November 18 last year.

Ms Foromani said she did not check on his status, which would have told her Mr Sandhu was on escorted leave and should have been accompanied at all times off Bosworth ward at the unit.

The inquest heard how Ms Foromani, who was a qualified registered nurse but was doing a shift as an agency-provided health care support worker, took Mr Sandhu to the breakfast club at the day room and left him there at about 9.45am.

Mr Sandhu, a married financial advisor who was bi-polar and considered an increased suicide risk, walked out of the hospital and was found hanging from a tree in Knighton Park by a member of the public at 3.40pm.

Ms Foromani said: "I failed. I did fail him."

She said she took Mr Sandhu to the day unit but left him there.

Coroner Catherine Mason told Ms Foromani that as a registered nurse she should have checked as to Mr Sandhu's status before she took him off the ward.

She said: "That information was available to you on the glance board in the nursing office and on the register on the nursing desk.

"You did not even do the common courtesy of finding out who he was."

Mrs Mason said Ms Foromani, who had worked on the ward before, had also relied on Mr Sandhu for directions when taking him to the breakfast club. She said her actions had fallen below the accepted standard of those of a registered nurse.

Stephen Kasote, a staff nurse on the ward and Mr Sandhu's named nurse, accepted he had also not met the required standard of care.

The coroner told how Mr Kasote had not kept Mr Sandhu's care record up to date.

She said: "As Mr Sandhu's named nurse it was your duty to make sure his care package was reviewed properly. You did not do that."

Detective Constable Steven Hadden, who investigated Mr Sandhu's death, said: "We trawled through CCTV from buses and other places along the route to Knighton Park but did not find any images of Mr Sandhu."

Det Con Hadden said he was satisfied there no suspicious circumstances.

Pathologist Dr Stuart Hamilton said Mr Sandhu died from hanging.

The hearing continues today.

I failed mentally-ill patient, admits Bradgate Unit  nurse at Leicester inquest


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