A grandmother stabbed to dying by a complete stranger would nonetheless be alive however for a string of failures by psychological well being employees, a coroner has mentioned.
Sally Hodkin, 58, was killed immediately when she was attacked with a butcher’s knife by Nicola Edgington in 2011.
Edgington, who had killed her personal mom six years earlier, stabbed Mrs Hodkin hours after being allowed to go away a psychiatric unit.
Coroner Sarah Ormond-Walshe recorded a verdict of illegal killing.
In the course of the two-week inquest, South London Coroner’s Court docket heard police had taken Edgington to Queen Elizabeth Hospital, Woolwich, after she requested to be sectioned.
She was checked into A&E however grew extra agitated and demanded to be taken to Oxleas Home psychological well being unit in Greenwich.
Edgington paced across the ready room earlier than approaching receptionist Sylvia Rogers and saying: “Is it going to take for me to kill somebody, as I’ve accomplished it earlier than, to be seen?”
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Edgington was ultimately taken to the unit, however was later allowed to stroll out of the constructing.
Later that day, she killed stranger Mrs Hodkin, 58, with a stolen butcher’s knife in Bexleyheath, south-east London.
Concluding the inquest into Mrs Hodkin’s dying, coroner Sarah Ormond-Walshe mentioned Edgington had been failed by numerous companies.
“There was a failure to evaluate her correctly, failure to threat assess her correctly, and failure to place her on one-to-one observations,” she mentioned.
Ms Ormond-Walshe mentioned one other failure was employees failing to cease Edgington from leaving Oxleas Home.
“Had a number of of those failures not occurred, the dying of Sally Hodkin wouldn’t have occurred,” she added.
An unbiased investigation in 2017 discovered NHS and police failings led to Mrs Hodkin’s homicide.
The coroner recorded a verdict of illegal killing on the conclusion of the two-week inquest.
She mentioned Mrs Hodkin would have died immediately from wounds to the neck.
Edgington was jailed for all times with a minimal time period of 37 years in 2013 for the homicide of Mrs Hodkin and tried homicide of one other girl on the identical day.
She had been launched from a safe psychiatric unit in 2009 regardless of an order she be detained indefinitely after stabbing her mom Marion to dying in 2005.