Overview

• A Teesside Coroners’ Court jury officially recorded Donna Levin’s death as suicide due to mental illness after five days of evidence.
• Jurors detailed multiple care shortcomings at Roseberry Park Hospital, including falsely completed observation records and incomplete electronic notes.
• Staff delays were identified in emergency response when alarms were left charging and locked gates slowed paramedics after Mrs Levin was found unresponsive.
• Tees, Esk and Wear Valleys NHS Trust expressed deep regret to the Levin family and affirmed that changes from its independent post-mortem review remain in place.
• The Levin family paid tribute to Donna’s sunny personality and urged a wider public inquiry into mental health ward practices.