Sheffield<\/a> children\u2019s hospital, on 29 January last year.<\/p>\nJurors heard that Mia had undiagnosed autoimmune encephalitis \u2013 a rare condition that causes swelling of the brain and which explained her \u201cacute psychosis\u201d.<\/p>\n
The diagnosis only emerged partway through the inquest in Sheffield, after a pathologist said she had just received new port-mortem examination test results.<\/p>\n
On Thursday, the inquest jury concluded that the failure to carry out a lumbar puncture at Nottingham\u2019s Queen\u2019s medical centre (QMC) before her transfer to the Becton Centre had \u201cpossibly contributed\u201d to her death.<\/p>\n
The inquest was told that Mia began behaving unusually over Christmas 2023, including hearing voices and attacking her mother. Her family became so concerned that she was taken by ambulance to QMC on New Year\u2019s Eve.<\/p>\n
She was found to be experiencing an \u201cacute psychotic episode\u201d and was sectioned under the Mental Health Act.<\/p>\n
A jury of five women and four men heard that blood tests and an MRI scan conducted at QMC were negative, leading doctors to rule out a physical cause for her psychosis.<\/p>\n
However, clinicians decided not to request further tests of brain activity or spinal fluid, including a lumbar puncture, which may have revealed the autoimmune encephalitis.<\/p>\n
Mia was transferred to the Becton Centre on 9 January and died three weeks later.<\/p>\n
In their narrative conclusion, the jury said: \u201cThe failure to undertake a lumbar puncture at this point [at QMC] meant that potential indicators of autoimmune encephalitis were missed. This possibly contributed to Mia\u2019s death.\u201d<\/p>\n
They added that the information passed between QMC and the Becton Centre \u201cprovided an inappropriate level of assurance that organic causes had been ruled out\u201d.<\/p>\n
Regarding the Becton Centre, the jury found that \u201cinsufficiently robust communication and management of risk led to a failure to respond adequately to Mia\u2019s risk of self-harm\u201d.<\/p>\n
The jury also noted that a \u201crare presentation of a rare condition\u201d posed particularly complex challenges for diagnosis and care.<\/p>\n
The jurors found, on the directions of the senior coroner for South Yorkshire (West), Tanyka Rawden, that Mia\u2019s cause of death was compression of the neck, caused by acute psychosis, caused by autoimmune encephalitis.<\/p>\n
In a statement after the inquest, Mia\u2019s mother, Chloe Hayes, said: \u201cIt has been devastating to listen to how, when she needed specialist healthcare for the first time in her life, she was so badly let down.<\/p>\n
\u201cShe was let down at the Queen\u2019s medical centre in Nottingham, who wrongly decided there was no underlying physical cause of her psychosis, and failed to carry out appropriate testing.<\/p>\n
\u201cI believe they simply dismissed her and looked to pass her on to mental health services as quickly as possible, which led to her transfer to the Becton Centre.\u201d<\/p>\n
Mrs Hayes continued: \u201cHer mental health spiralled deeper out of control there, as she was not being treated for her condition, and the many failings and lack of care meant sadly she wasn\u2019t properly protected from harming herself.\u201d<\/p>\n
She said: \u201cMy beautiful little girl has lost her life and I will never forgive the Queen\u2019s medical centre or the Becton Centre for failing her.\u201d<\/p>\n
Dr Manjeet Shehmar, the medical director at Nottingham university hospitals NHS<\/a> trust, said: \u201cWe accept the coroner\u2019s outcome in court today and apologise to Mia\u2019s family for not identifying autoimmune encephalitis while she was in our care.<\/p>\n\u201cWhile this is an incredibly rare condition and initial tests were negative, we recognise that further testing may have had an impact on her future, for which we are truly sorry.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"A 12-year-old girl who took her own life after being sectioned was failed by medical staff who did…\n","protected":false},"author":2,"featured_media":286802,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[49,50,51,47,52,48],"class_list":{"0":"post-286801","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-headlines","8":"tag-headlines","9":"tag-news","10":"tag-top-news","11":"tag-top-stories","12":"tag-topnews","13":"tag-topstories"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts\/286801","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/comments?post=286801"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/posts\/286801\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/media\/286802"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/media?parent=286801"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/categories?post=286801"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/uk\/wp-json\/wp\/v2\/tags?post=286801"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}