Averil Hart (right and left, in hospital with her father Nic), 19, from Sudbury in Suffolk, was let down by every part of the organisation that should have cared for her, the Parliamentary and Health Service Ombudsman says. Yet the four NHS bodies refused to take responsibility for the tragedy and instead were ‘defensive and protective of themselves’, the report says. She was found collapsed in her university room after losing 2st – nearly a third of her body weight – in less than three months. Doctors had not properly tracked her weight or her mental health, and after she was rushed to A&E;, two hospitals made basic blunders that accelerated her death.
