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recurance

Neeshat Dalal

5 Jun 2026 · Coroner Rachel Redman · East Sussex

The coroner's concerns

  1. 1. lack of appropriately qualified dieticians for inpatients undergoing psychiatric care

    “Funding is required for the specific provision of appropriately qualified dieticians who can meet the nutritional needs of inpatients undergoing psychiatric care in SPFT and in other Trusts where such support does not already exist.”
  2. 2. delayed transfer from Emergency Department to Acute Medicine Unit

    “she collapsed during the 3rd session on 13.12.2022 and was admitted to the Emergency Department of Eastbourne District General Hospital which is part of East Sussex Healthcare NHS Trust. She remained in Resus in the Emergency Department for 14 hours before being transferred to the Acute Medicine Unit where she died several hours late”
  3. 3. ECT treatment without adequate monitoring

    “She was transferred to Heathfield Ward at Eastbourne District General Hospital which is part of Sussex Partnership Foundation Trust where she remained, undergoing 3 treatments of ECT until she collapsed during the 3rd session on 13.12.2022”

Responses

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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