A jury today revealed its conclusions following an inquest into the death at Prestwich Hospital of teenager Charlie Millers.
Jurors determined Charlie had not intended to take his own life and identified failings in his care. They said a lack of one-to-one, constant nursing care likely 'contributed to his death'.
The jury determined Trafford council services did not communicate with each other effectively enough and did not provide Charlie's mum the 'practical support' she needed as his mental health worsened, without enough help in the community.
They also said he should have been the subject of a Care Protection Plan. READ MORE: The terrifying image that greeted a police officer when they stopped a car outside a school Jurors said Greater Manchester Mental Health Trust's observation system, where staff checked on Charlie during his stays on wards including at the time he was fatally injured, was 'not robust enough' and was undertaken 'inconsistently at best'.
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