Charlotte Werner
2 Jun 2025 · Coroner Mary Hassell · Inner North London
The coroner's concerns
1. misunderstanding of referral purpose
“[the deceased]'s mother formed the view that [the deceased] was suffering from an eating disorder and was under the impression that the referral to a UCLH dietitian was made, at least in part, in order to explore this.”
2. misdiagnosis and inappropriate referral
“In fact, [the deceased] was never diagnosed with an eating disorder, did not meet the criteria for a referral on this basis and was referred solely for consideration of whether her nutritional status was having an impact on her height.”
3. lack of clear service boundaries
“It seems from the evidence I heard that an explanation, perhaps on the website or in correspondence, that the UCLH dietetic service is not a mental health service and does not treating eating disorders, could be helpful.”
Responses
No published response was found on judiciary.uk.