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tv   Failed by the NHS  BBC News  February 12, 2020 3:30am-4:01am GMT

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which has now been named covid—19, if enough resources were devoted to the fight. now on bbc news: panorama. now, you know why i'm making this video. because i like making videos. this is callie lewis. she ended her own life in 2018 and she was just 24. callie was very, very passionate about whatever she turned her mind to. she was really present about animals and animal rights. so she would always say she much preferred animals to people. callie sometimes struggled with mental illness. animals to people. callie sometimes struggled with mental illnesslj don't struggled with mental illness.” don't get humans at all. they are really weird. people try to talk to
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me, it's like trying to talk to spock or something like that. we've spent the last 16 months with callie's family, trying to find out what went wrong. just weeks before her death, callie became a member of an online suicide forum. without those forums i think my daughter would have really struggled to find the information she was looking for about how to do it. suicide rates among young people have been rising and for young women, they are at record levels. when callie needed help, it wasn't there. my biggest regret is asking for help, to be honest. asking to help, because... ifi honest. asking to help, because... if i hadn't handed it over, there was a higher chance that she would be alive today.
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you can see her. but one is nice. is that you? i was 16 when i had her. wow. callie's mother, sarah always knew she was unique. if you had a conversation with her it wouldn't be a normal conversation. even smalltalk was intense. she would, you know, turn into this sort inquisition, basically. at 11, callie was diagnosed with asperger‘s syndrome, a mild form of autism. it made relationships outside the family hard, but she was close to her grandfather. she had some very
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odd, obsessive behaviours which were not things you could control. she would sort ofjust do them. we just accepted her as one of us, a little bit more eccentric than most. as a teenager, callie sometimes felt she didn't fit in. i'm like a cyborg with this human skin on. it's quite funny. i kind of like it, though. it makes me laugh. she was diagnosed with chronic depression and sometimes talked about suicide, but could also be extremelyjoyful and was a loyal friend. could also be extremelyjoyful and was a loyalfriend. nine could also be extremelyjoyful and was a loyal friend. nine years ago, she met jan, was a loyal friend. nine years ago, she metjan, and despite their age difference they developed a rapport. when i met her i spotted straightaway she was autistic. and i think she spotted i was as well. she was also aware that i seemed to be
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coping a lot better than she was doing, and she couldn't understand why. and the only answer i could give her was that because i lived with it longer, so, i have kind of adapted. when callie was 23, she left her south london move in with a boyfriend. life had been going really well for her. she had been the happiest for a consistent period of time, i think, for a very long time. but by the summer of 2018, callie and her boyfriend had split. her mental health had taken a turn for the worse. she cut off all contact with her mother and moved to kent stop i suspected she was staying with her friends, kent stop i suspected she was staying with herfriends, i couldn't be sure. when i tried to call her on what's up, nothing. callie had begun
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seriously thinking about ending her own life. callie spent hours searching the internet and eventually came across a website where she felt she might be able to get some help. we are going to name the site because it contains extremely harmful content, but it was a chat forum where she would post anonymously. in one of the first post she left she said "i'm glad ifound first post she left she said "i'm glad i found this site as it yields near impossible to discuss the site openly. —— as it feels near impossible to discuss suicide openly. " callie used to discuss her suicidal thoughts are with jan, but not anymore. she just engrossed herself with the suicide websites who were encouraging her how to do it. so she felt if she communicated with me, she wouldn't be able to do it stop but if you cut me off and
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communicated with them, they would make sure she did it. when we found out about the websites, the suicide websites she had been on, that really set off an alarm bell because it began to feel like an obsession. she could have a depressive mood and a suicidal thought, and that was manageable, because you could help her through that. but her obsessions, you just couldn't do anything about them. on august ten, callie posted to the suicide website revealing she had recently made several attempts to hang herself. an actor is reading out her messages. please do god help me, i have now freaked out and failed four times in the last month.
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despite her obvious distress, no—one on the forum tried to persuade callie not to kill herself. a few days later, her friend yann found out about the suicide attempts. days later, her friend yann found out about the suicide attemptsm was a shock but it really was, and as soon as i saw was a shock but it really was, and as soon as i saw her was a shock but it really was, and as soon as i saw her ijust — well, i started crying. she started crying. and she explained everything. jan was so worried about callie that he broke her confidence and owned her mum sarah.” callie that he broke her confidence and owned her mum sarah. i think there are two things that made me think this is really serious. the first was the fact that she cut off all contact with me and thenjan
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called me. so that didn't shock us, but for callie saying she has detailed plans to do it... —— but jan saying she had detailed plans. they called 999, and found bruise marks on her neck and in use. callie posted to the suicide forum —— and a noose. i still intend to live friday morning and remain undetected instill them —— until then and be vague with the mental health team. callie discovered that her mother had called the police and that jan
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was the one who tipped her.” realise it was a bad idea to be so open, but since i'm autistic, ifind it extremely hard to be dishonest. i feel extremely betrayed by my friend. furious, callie moved out of jan's flat. my decision was she either lives or dies, and so it was easy that she had to live. the consequences of it was very hard. but i would have done it again if i had the chance. i would be hoping this time it would work. callie had an appointment with a mental health crisis team the following day. before that, she
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visited one of her favourite places, an animal sanctuary near canterbury where she had often spent time watching the wolf pack. all the while she was still on the suicide forum. any advice for the crisis team? i am seeing them in two hours. you will need to play along and pretend it was just a passing you will need to play along and pretend it wasjust a passing cloud and that you're getting better. callie took the advice to heart. she told the crisis team she no longer intended to hang herself. what she didn't tell them was that she had found a new method on the suicide forum and had already bought what she needed to carry it out. was released, and when they heard they set out to find her. —— callie was
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released. my dad and i had gone down planning to bring her back. the most worrying thing was discovering that she had bought a suicide kit. she lived on not being and spent good money on a suicide kit, itjust wasn't callie at all. we just thought we couldn't help her, it's too serious. if we bring her back, we will have two lock her up in the house, stay with her, switch off the internet, switch off all data, we would just have two get her off those forums and break it, basically. desperate to get her daughter help, sarah called 999. she told police that callie was on her way to dover primary station. callie's family was so concerned about her mental health that they came here with the police that they could find her. this is the last
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place her mum ever saw her alive stop the police officers stood by the fans, we stood by the ticket barriers and she came out and we grabbed hold of her. she just started screaming and yelling and that was when the police were able to intervene. i told her i that was when the police were able to intervene. i told heri loved her. ididn't to intervene. i told heri loved her. i didn't get anything back. but ijust thought, her. i didn't get anything back. but i just thought, you her. i didn't get anything back. but ijust thought, you know, just in case i never see ijust thought, you know, just in case i never see her ijust thought, you know, just in case i never see heragain, which came out to be the case, i set it to her. the police brought callie here while her mum and grandad waited by the translation for news. and we we re the translation for news. and we were there well past 11pm and the police officer said we are searching her. and ijust collapsed. ijust thought thank goodness. they are
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actually going to keep her safe. police detained callie for her own safety, but with no mental health bed available for her, she had to wait with offices in a police car all night. —— officers. at 8:30am the next morning, callie began a further mental health assessment at st martin's hospital in canterbury. she denied any immediate intention to kill herself and again the assessors took her denials at face value. callie was released. when they asked if i had immediate plans to harm myself if they released me, isaid no to harm myself if they released me, i said no and laughed off the idea is ludicrous. ijust that i wanted to go and get something to eat. —— the idea is ludicrous. ijust said that i wanted to go and get something to eat. the next thing i
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knew, it was lunchtime. they said she was on a suicide website, she has all of her equipment and she will definitely kill herself using this method. if you let her. ijust said, thank you very much, we will make note of that information. but i now know that phone call happened after her assessment had already finished. the next day the community mental health team took over callie's care. things began to go disastrously wrong. a duty care co—ordinator called callie three times. when there was no answer, callie should have been visited at home on the same day. that didn't happen. she was never seen by the community health service. the person who made
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the phone calls was then assigned as callie's full—time caseworker but they went on sick leave and no—one was assigned to take over. callie became lost in the system. was assigned to take over. callie became lost in the systemm was assigned to take over. callie became lost in the system. if you look at any unforeseen death, usually it is not one thing that kills them. in callie's case you can see that. you suspect that at any point something could have gone right and she would still be with us today. seven days later, there are still had been no further attempt to contact callie. now she was over 350 miles away in cumbria. any chance to
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help her was rapidly slipping away. callie came here to windermere and she was still speaking to people on the suicide website and asking them how to go through with it and how best to stop her friends and family from finding her and stopping her.
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" dying now, guys, i'm going to drift off to sleep. good night. " to us drift off to sleep. good night. " to us she was so clearly very, very ill more so than we had known her. and during those weeks, we just kept on telling ourselves, they will keep her safe, they will keep it safe because we could not believe that would not happen. it took13 because we could not believe that would not happen. it took 13 days between kent and medway nhs trust even realised callie had gone missing. in the two years before callie's death, it had been worn twice by the care quality commission about the danger of some patients falling through the cracks. what i would like to know is what happened.
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without any sort of covering over. i just want to know the truth and the truth is actually quite easy to bear, the truth is not something that hurts, the truth actuallyjust gives life to things. sarah hopes to get a nswe rs gives life to things. sarah hopes to get answers from the local nhs which is promise a report on what went wrong. if you are determined to die, the only way to get to that stage is if you are very, very seriously mentally ill. i can to save all her life and then, the moment i ask for help, she stops being safe and let's just very hard to come to terms with. i feel i just very hard to come to terms with. ifeel i made just very hard to come to terms with. i feel i made the wrong decision. it is the thought of her
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just wandering around by herself, lost, and nobody able to help her that really, really upsets me. to know that somebody somewhere was caring for her but nobody was and i wasn't able to. 0h, caring for her but nobody was and i wasn't able to. oh, god... in its report, the trust acknowledges a series of failures in callie's care, in part fuelled by stuff off sick and website post. she would consider 20 to be a reasonable amount. what do you make of that? i think what we currently have is a service that is on its knees so we have staff who are exhausted and who are regularly carrying far greater
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they would be an acceptable or manageable caseload and still be able to give good quality mental healthcare to people. they then might go off sick for example, other people they need to step in so the consistency of case potentially lost and ultimately, the most important factor, is people being able to be safe and supported by the community mental health team. the care quality commission inspects and rates of mental healthcare providers in england. it also service people over the age of 18 who use england's community mental health service. every year, for the last five years, satisfaction with the service has gone down, with patients saying they are not able to see nhs staff often enough. we need a wholesale investment in community
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mental health services. we still have pockets of care where there are gaps in service provisions. we need good quality, 24—hour crisis care available in the entire country. we need to have a real investment in community mental health teams so that those community mental health nurses can do the role that they wa nt to nurses can do the role that they want to do and they strive to do in terms of building those really strong relationships with people who are struggling. although the number of community mental health nurses has increased by 15% over the last five years, across all mental health services, there are around 10,000 unfilled posts. nhs england told panorama that in the next four years it will create a further 10,000 new posts
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for community mental health teams and is increasing funding by almost £1 billion a year. it also says that in october 2019, the care quality commission reported a general improvement in the quality of community mental health services. 0ne community mental health services. one more time for a phenomenal... we are interrupting our programme to go live to new hampshire and pete buttigieg just speaking he has done pretty well in new hampshire. who knows how to raise the roof and to get out the vote! cheering and applause. crowd chants: kerry! terry! and thank you to her chest
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and, the love of my life who keeps me grounded and makes me whole. i wa nt to me grounded and makes me whole. i want to congratulate my competitors and their supporters here in new hampshire. i admired senator sanders when i was in high school and i respect him greatly today and i congratulate him on his strong showing tonight. i want to congratulate senator amy klobuchar, senator warren, vice presidentjoe biden and all of our candidates and supporters. and i know we all share the spirit that we heard from some of our volunteers at a portside early today to welcome a competing
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candidate with chance of vote blue, no matter who. we are on the same team. cheering and applause. over the past year, some two dozen campaigns have crisscrossed this estate, each laying claim to the ability to bring people together, turn out the vote and move americans towards a brighter future. inaudible. that also. and here in the state, that goes by the motor live free or die, you may up your own mind. —— made up. you asserted that famous independence streak and thanks to you, a campaign that some said should not be here at all, has a shame that we are here to stay.
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cheering and applause. crowd chants: pete buttigieg president! president pete buttigieg president! president pete buttigieg! so many of you turned out, diehard democrats, independents unwilling to stay on this island and even some former republicans ready to vote for somebody new. ready to vote for a politics defined by how many we coueen politics defined by how many we colleen instead of by who we push out. so many of you chose to meet a new era of challenge within a new generation of leadership. so many of
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you decided that i was the right choice to take on this president not despite of my experience but because of it. now our campaign moves onto nevada, south carolina, to communities across our country. and we will welcome new allies to our movement at every step. cheering and applause. we will go forward thanks to the work of our extraordinary tea m to the work of our extraordinary team of staff and organisers and volunteers. i may be based on this but i am also right, we have the
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finest team in politics today. cheering and applause. crowd chants: usa! usa! and i want you to know that you do notjust represent me well, you inspire me and i cannot say enough how thankful i am to our extraordinary team. cheering and applause. well done, pete! thank you. and we know that team stretches across the country. we go forward fuelled by hundreds of thousands of grassroots supporters, from the woman in minnesota who donated in honour of the wife she lost to lung
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cancer, to the veteran in connecticut who sent $19.68 in honour of the year he served in vietnam. this campaign belongs to them. and if out campaign moves you, i hope you will go to pete for america .com and chip in whatever you can. and we go forward knowing that this is our chance, our only chance, not just to that this is our chance, our only chance, notjust to and the era of donald trump but to lodge the error that we know must come next. and the sta kes ca nnot that we know must come next. and the stakes cannot be higher. we cannot afford to miss the mark or miss this moment. we must get this right. with americans living under an
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unaccountable president who will cut taxes for corporations and then cut medicare, social security for the rest of us, we must get this right! cheering and applause. when people of colour fear for their place in their country, while infants are torn from their parents at the border, we must get this right. cheering and applause. and when a commander—in—chief parted war criminals and punishes war heroes while systematically demolishing the credibility of our country in the eyes of the world, we dare not risk for more years of this presidency, we must get this right. cheering and applause. crowd chants: president
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pete! president pete! president pete! president pete! president pete! now, we... we are clear died about the challenge before us and we must be equally clear about the choice at hand. my competitors and i share the same fundamental goals, bringing balance of economy, guaranteeing healthcare to every american, combating climate and a rising tide of gun violence but with a different what we believe it will ta ke to a different what we believe it will take to make that happen. we have been told by some that we must either be for a revolution of the status quo but where does that leave the rest of us. most americans do not see where they fit in and cannot defeat the most divisive president in bonnet america by tearing down anybody who does not agree with us 100% of the

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