Failures in care at the Priory led to 'missed opportunity' to save man who jumped in front of train
Failures in care at a renowned private hospital led to a "missed opportunity" to save a patient who threw himself under a train, a coroner ruled.
IT consultant Neil Carter, 37, from Nonsuch Court Avenue, Ewell, died after jumping in front of a train at Turnham Green underground station last year.
A coroner last week highlighted "gross failures" in his care at the Priory Hospital including the deliberate falsification of a medical record.
The hospital, which is famed for its use by celebrities with addictions and other mental health conditions, has sacked a nurse involved in Mr Carter's care and has carried out a internal review into what went wrong.
During the inquest at West London Coroner's Court it was reported that Mr Carter suffered from an extreme intolerance to certain sounds known as misophonia. The married man died of multiple injuries.
Coroner Dr Sean Cummings, who returned a narrative verdict, concluded that he took his own life by jumping in front of a train on November 20 while still an inpatient at the Priory in Roehampton.
The record of inquest said: "There were gross failures in his care, notably the failure to perform basic observations, followed by a deliberate falsification of the record.
"These led cumulatively to a missed opportunity to realise he was missing, a missed opportunity to search early for him and a missed opportunity to offer life-saving interventions."
A spokesperson for the hospital said: "Everyone at the hospital was very saddened by Mr Carter’s death and our deepest sympathies are with his family and friends.
"This case has been the subject of a thorough and comprehensive internal review and where necessary robust action has been taken.
"A nurse has been dismissed and her actions referred to the NMC.
"The hospital was fully compliant with CQC regulations at its recent inspection, including the outcome on patient safety, but we always keep our policies, procedures and staffing arrangements under review and will consider the coroner’s verdict very carefully."
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